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SAN J O A Q U ( N Environmental Health Department <br /> Corrective Action Statement <br /> RE: September 01, 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. Alsc <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed fc <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Elena Manzo at (209) 953-7699 or emanzo@sjgov.org. <br /> Facility name: F-FD ORCHARDS Submit completed form to: <br /> Facility address: 21360 E WALNUT DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181749 ATTN: ELENA MANZO <br /> PR0525874 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #2 - Failed to initially complete and electronically submit a HMBP. <br /> 2 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: <br /> Violation #6 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> Q 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: <br /> ; rfcG <br /> C <br /> Violation #9 - Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> IF] 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: <br /> Page 2 of 3 <br /> Rev.8/18/2020 <br /> 1868 E. Hazelton Avenue I Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />