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SAN 10AQUIN Environmental Health Department <br />a COUNTY- <br />r-,reotneif 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. <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 />NEW STOCKTON 99 SPEEDWAY, 4105 N WILSON WAY, CERS ID: 10187285, PRO546855 <br />Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br />site. <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 />'3u Los-",�o( L <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />H' This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included J ,' <br />Describe actions taken or will betaken to correct violation: t � .u <br />0 G S <br />Violation #7 - Failed to electronically submit an adequate ER procedures for a release or threatened release. <br />Rav 911612020 <br />0 This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included yy�� <br />Describe actions taken or will be taken to correct violation: ELI bwl ! lea 40K r <br />Page 3 of 4 <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www sjgov org/EHD <br />