Laserfiche WebLink
SAN J OAQ O I N Environmental Health Department <br />i 3 .ln <br />COUNTY <br />lltin �a <br />Greotnr`ss grows here <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 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 />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 OwnerlOperator Identification page. <br />0, 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: 5_h Nk^ (_� <br />At Q 5 cr.N.� �v. t� ,.� �x ✓ rcti c' -r - E P A 11 b C -r <br />k.jC�S <br />Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br />site. <br />jff` 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: ' Y `� + �lrvlvyly VNNC-"_ <br />CC; .�_,ce.vlArc Jto \__S. <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): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: �.!� uc. e C G S e_cvv'�y`^-C—Q <br />Page 2 of 4 <br />Rev 911612024 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 i F 209 464-0138 1 www.sjgov.org/EHD <br />