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SAN JOAQUIN <br />i ---COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Corrective Action Statement <br />RE: June 14, 20211 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: O'REILY AUTO PARTS #3020 <br />Submit completed form to: <br />Facility address: 309 W DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10401892 ATTN: ELIANNA FLORIDO <br />PR0520583 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <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): <br />C9 Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />The 55 gallon drum referenced has been updated on CERS and on our store's site map. <br />Violation #6 -Failed to electronically submit a site map with all required content. <br />❑ This violation was corrected <br />Gd' Supporting documents included <br />❑ This violation will be corrected by <br />Describe actions taken or will be taken to correct violation: <br />The 55 gallon drum referenced has been updated on CERS and on our store's site map. <br />Violation #11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <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 />The training documents for the whole store have been provided from the past 3 years. <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />