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� An �rir® nrne #"qpa <br /> i <br /> COUNTY <br /> I op �.� _ � € � �d � €� , T : JJ . _ 0 . 0 <br /> Corrective Action Statement <br /> RE : July 15 , 2020 , Hazardous Materials inspection re'P56 SROM /l ;.v � <br /> "� � AL AilCCAN <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Aso <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 /> Stacy Rivera at (209) 468-3440 or sriverapsigov. orq . <br /> Facility name : WEST LANE FUEL Submit completed form to : <br /> Facility address : 3300 N WEST LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181477 ATTN : STACY RIVERA <br /> PR0519801 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #6 = Failed to complete and/or submit a site map with all required content. <br /> 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 : NyNrp CGjf?—S eu' > <br /> Violation #7 - Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release . <br /> 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 : U ?Lt) C�Q4—S <br /> Page 2 of 3 <br /> I Rev. 8/27/2019 <br /> E 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468-3420 ( F 209 464-0138 1 www . sjcehd . com <br /> E <br /> t <br />