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, <br /> Environmental Health Department <br /> SAN _ JOAQUIN <br /> ;^ '<i --- COUNTY - <br /> ac <br /> ti'a d1� t►` Greatness grows herr. <br /> Corrective Action Statement <br /> RE: October 02, 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. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Robert Lopez at (209)953-6214 or rlopez@sjgov.org. <br /> Facility name: GOLDEN STATE LUMBER INC Submit completed form to: <br /> Facility address: 3033 S Airport Way SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184971 ATTN: ROBERT LOPEZ <br /> PR0522809 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #4-Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> 15 This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will betaken to correct violation:: lA c&&\cA <br /> (J�1�. c�s c�c'�, ✓.�;c�1 <br /> (A 0kk'r1�✓/�(2c✓'C, UY' �� n {AC- tiT,C cA r,r) ..S CA rick c-Aear n,j is 11 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> R This violation was corrected ❑This violation will be corrected by (date): <br /> ❑ Supporting documents included p <br /> Describe actions taken or will betaken to correct violation: �(er .� �A e��'�o�S MGA 1er,'4i s <br /> I nyrn-'ar`;� Ckr)ok <br /> Violation#6 -Failed to electronically submit a site map with all required content. <br /> U This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included pp <br /> Describe actions taken or will be taken to correct violation: u p AcA -A a\-1 r-- no e, C2cf <br /> C�'nA � eL�rnn cti ( 1 � ��bm,1t <br /> Page 2 of 4 <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 />