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j41 — S A N J 0 A Q U I N Environmental Health Department <br /> t ` —COUNTY— <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: June 14, 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: O'REILY AUTO PARTS #3020 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 /> 9 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 ❑ This violation will be corrected by (date): <br /> Ed 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 #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date): <br /> 9 Supporting documents included <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 I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />