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SAN J O A Q U I N Environmental Health Department <br />COU', —Y <br />Corrective Action Statement <br />RE: April 27, 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Haze Saeed at (209) 953-6212 or hsaeed@sjgov.org. <br />Facility name: TRACY WATER TREATMENT - PRIMARY Submit completed form to: <br />Facility address: 6649 S TRACY BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182929 ATTN: HAZA SAEED <br />PRO519884 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #4 -Failed to electronically submit the Business Activities or OwnerlOperator Identification page. <br />® <br />This violation was corrected <br />❑This <br />violation will be corrected by <br />(date): <br />❑ <br />Supporting documents included <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />CERS has been updated to reflect current conditions, it will be updated annually by January 15th. <br />Violation <br />® This violation was corrected ❑ Thi <br />#5 -Failed to electronically submit hazardous <br />materials inventory for all <br />reportable materials on <br />site. <br />(date): <br />❑ <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />CERS has been undated to reflect the correct hazardous materials <br />Violation #6 -Failed to electronically submit a site map with all required content. <br />® <br />This violation was corrected <br />s violation will <br />be corrected <br />by <br />(date): <br />❑ <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />CERS has been undated to reflect the correct hazardous materials <br />Violation #6 -Failed to electronically submit a site map with all required content. <br />® <br />This violation was corrected <br />❑This violation <br />will be corrected by <br />® <br />Supporting documents included <br />Describe actions taken or will betaken to correct violation: <br />Site maps have been updated and electronically submitted with all required content. <br />Page 2 of 3 <br />Ray. 9n612020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 i T 209468-3420 � F 209464-0138 i www.sjgov.org/EHD <br />