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COMPLIANCE INFO_2020
Environmental Health - Public
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PR0520474
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COMPLIANCE INFO_2020
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Last modified
12/29/2020 8:05:11 AM
Creation date
10/26/2020 11:30:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0520474
PE
1921
FACILITY_ID
FA0000645
FACILITY_NAME
SHORT STOP FOOD MART
STREET_NUMBER
20
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04134015
CURRENT_STATUS
01
SITE_LOCATION
20 W TURNER RD # A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> r; - CQUNTY-- <br /> C;„ y Greatness gr�ow5 Frere. <br /> Corrective Action Statement <br /> RE: October 21, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: SHORT STOP FOOD MART Submit completed form to: <br /> Facility address: 20 W TURNER RD#A SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180633 ATTN: CAROL PRESTO <br /> PR0520474 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on site. <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: <br /> Violation#6-Failed to electronically 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: <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <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: <br /> Page 2 of 3 <br /> Rev.9/16/2020 <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 />
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