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S A N ,J 0 A Q U IN Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: May 03, 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 /> Nicholas Loehrer at(209)468-0623 or nloehrer@sjgov.org. <br /> MANTECA WELL#29, 614 EL PORTAL AVE, CERS ID: none, PR0546873 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> le 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, Qy�{'� 1 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> XThis 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: { l <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened <br /> release. <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: <br /> Page 3 of 5 <br /> Rev.9/1 612 0 2 0 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />