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SAN �OAQUIN Environmental Health Department <br /> I Y-- <br /> here,--- <br /> here, <br /> Corrective Action Statement <br /> For RE: November 23, 2020, Hazardous Materials inspection report <br /> Also each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. <br /> co describe khat was done to correct the violation in the space provided below each violation. Submit this <br /> mpleted form with the Return to Compliance Certification within 30 days of ins ection. If ou have an <br /> Please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov.org. y p y y questions, <br /> A8`A GAS FOOD MART, 1330 E YOSEMITE AVE, CERS ID: 10184191, PR0520871 <br /> Violation#11 _ <br /> M--'This <br /> ,/ Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> �' This violation was corrected <br /> C3 Su ❑This violation will be corrected by(date): <br /> pporting documents included <br /> Describe act', ns taken or will be taken to correct iolation: <br /> �/�2 <br /> Violation#12-Failed to have the HMBP readily available to facility or EHD personnel. <br /> ,, <br /> I 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 /> (CSG r h 4^-.c <br /> & l ��l�Z <br /> Ep1> <br /> Page 4 of 4 <br /> Rev,9/16/2020 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www,sjgov.org/EHD <br />