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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0546855
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COMPLIANCE INFO_2021
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Last modified
7/6/2021 1:51:11 PM
Creation date
5/18/2021 1:12:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546855
PE
1920
FACILITY_ID
FA0019628
FACILITY_NAME
NEW STOCKTON 99 SPEEDWAY
STREET_NUMBER
4105
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
13202014
CURRENT_STATUS
01
SITE_LOCATION
4105 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN JOAQUIN Environmental Health Department <br />1W COUNTY <br />Greatness grows <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. <br />Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br />completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br />please contact Elianna Florido at (209) 616-3050 or eFlorido@sjgov.org. <br />Facility name: NEW STOCKTON 99 SPEEDWAY Submit completed form to: <br />FaclUty address: 4105 N WILSON WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10187285 ATTN: ELIANNA FLORIDO <br />PRO546855 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #2 - Failed to initially complete and electronically submit HMBP. <br />This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken orwill be taken to correct violation: <br />dub -f7D f� <br />Violation #3 - Failed to establish and implement a hazardous materials business plan. <br />®./This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation; <br />SUj7yw.4e.4 -*0 C-pQ <br />Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br />R°'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: S\.160 L-* #°'t <br />Page 2 of 4 <br />Rev 91162020 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209464-0138 1 www.sjgov.org/EHD <br />
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