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IN Environmental Health Department <br /> SAN--JOAQU <br /> D' ', ----C;OUEpi TY— <br /> Grect"ess grows hert'. <br /> Corrective Action Statement <br /> RE: April 09, 2021, Hazardous Materials inspection report <br /> For each violation listed below, indicate if the violation had bwo m-rrav-%d or will be corrected by a mart in datp— <br /> Also,describe what was don@ to corroO ft violation In V%spa',4, provideWowejagh Viglat. 1i <br /> 9n, &�!nt this <br /> completed form with the Return to Compliance Certification within 30 day6 of inspection. If you have any questions, <br /> please contact Nicholas Loshrer at(209)468-0623 or nloehrera-sigoy,org <br /> Facility name. FRENCH CAMP GRAIN ELEVATOR Submit completed form to: <br /> Facility address: 9504 S HARLAN RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID. 10182713 ATTN: NICHOLAS LOEHRER <br /> PRO520897 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to electronically submit hazardous matrid4lo inventory for all nappirtabiv materials on <br /> site. <br /> This violation was corrected 0 This violation will be corrected by(date): <br /> C3 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> qcLo <br /> i <br /> L <br /> Violation#6-Failed to electronically submit a site map with all required content <br /> AThis violation was corrected 0 Thie violation will be corrected by(date): <br /> Supporting documents included <br /> X— <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened release. <br /> This violation was corrected Q This violation wili be corrected by(date): <br /> Supporting documents included <br /> Describe actions taken or wiiI be taken to correct violation: Emer-�fc rC hgr'x <br /> Page 2 of 3 <br /> Rev.511612020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95-2051 T 209 468-34201 F 209 464-0138 1 wwv.sjgov-org/EH-M <br />