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Environmental Health Department <br /> Corrective Action Statement <br /> RE: ,duly 20, 2020, Hazardous Materials inspection report <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Haza Saeed at(209)953-6292 or hsaeedosigov.orq. <br /> Facility name: TRACY COMBINED CYCLE POWER PLANT Submit completed form to: <br /> Facility address: 14950 W SCHULTE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 14184753 ATTN: HAZA SAEED <br /> PRO521626 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#4-Failed to complete and/or submit the Business Activities or Owner/Operator Identification <br /> page. <br /> 1/This violation was corrected ❑This violation will be corrected by(date); <br /> 0 Supporting documents included nn <br /> Describe actions taken or will be taken to correct violation: �� Co e%,� L I!e,r GbeSCrj <br /> Violation#7-Failed to establish andlor submit emergency response procedures for a release or threatened <br /> release <br /> 5 This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: C owe P At <br /> �o rf� '✓ �-d�i� r�ar. c <br /> Rev.13/27/2019 <br /> Page 2 of 3 <br /> 1868 E. Hazelton Avenue � Stockton, California 95205 j T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />