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SQJQAHIN Environmental Health Department <br /> —COUNTY-- <br /> 7". <br /> Greatness Lrows <br /> Corrective Action Statement <br /> RE: April 29, 2021, Hazardous Materials inspection report <br /> For each violation listed below, indicate if the violation has been corrected orwill 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 /> Haza Saeed at(209)953-6212 or hsaeed@sjgov.org. <br /> Facility name: Delta Water Supply Project Submit completed form to: <br /> Facility address: 11373 N LOWER SACRAMENTO RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10423735 ATTN: HAZA SAEED <br /> PR0539212 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#4-Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> ❑ This violation was corrected This violation will be corrected by(date): (r8^C�) Z�z/ <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> (�. <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> ❑ This violation was corrected This violation will be corrected by(date): _d a i4 I f 202 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> iGV�I"Fev�alS ir��Jpu►�rNu ,r. r'�"' <br /> _m,r g[s OYN L)P— <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> ❑ This violation was corrected This violation will be corrected by(date): 0 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: r+ <br /> , R <br /> Page 2 of 4 <br /> Rev,9116/2020 <br /> 1868 E Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www sjgov.org/EHD <br />