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SAN 10AQUIN Environmental Health Department <br />Corrective Action Statement <br />RE: April 26, 2021, 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 Frederick Ernest at (209) 616-3026 or fernest@sjgov.org. <br />Facility name: TRACY WASTEWATER TX PLNT-MAINTENAN Submit completed form to: <br />Facility address: 3900 HOLLY DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181471 ATTN: FREDERICK ERNEST <br />PR0519885 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 />$i <br />This violation was corrected <br />❑This violation will be corrected by <br />(date): <br />P <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 />N <br />Describe actions taken or will be taken to correct violation: <br />Site maps were updated to in include required content and electronically submitted. <br />Violation #7 -Failed to electronically submit an adequate ER procedures for a release or threatened release. <br />Kl This violation was corrected El This <br />This violation was corrected <br />❑This violation will be corrected by <br />(date): <br />[A <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Site maps were updated to in include required content and electronically submitted. <br />Violation #7 -Failed to electronically submit an adequate ER procedures for a release or threatened release. <br />Kl This violation was corrected El This <br />Describe actions taken or will be taken to correct violation: <br />A new ER was prepared and electronically submitted. <br />Page 2 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 � F 209 464-0138 i www.sjgov,org/EHD <br />violation will be corrected by <br />(date): <br />ffiI <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />A new ER was prepared and electronically submitted. <br />Page 2 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 � F 209 464-0138 i www.sjgov,org/EHD <br />