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AUG/18/2021/WED 03: 19 PM Tracy Truck Stop FAX No, 209832 2312 P, 010 <br /> jilfN'-,>� '4�^ir:j:j i::�';�.f:'bil':jir.,•, ... .::... ..,ulr.;alaa <br /> Environmental N <br /> �:.� .' , a Health Department <br /> }y�.'{� I <br /> I ,'I'-'Nfi �' 4•�1`n�.3,.':,i::l W"-,`-.'--Q!i`,!-1-.H.n! i I , -: <br /> (f: TSti „1. ,�14;11;i�; S':.li:'i�`.,i1,.i,i <br /> .'�A i''i''ii:111:i".,•J I:....'.:: <br /> i n:(1, ),Y';;'..•;:il�;,�'j 1, "':i;ry:�aI;.I;H';;.!.i."•':.�.. <br /> Corrective Action Statement <br /> RE. July 19, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: TRACY TRUCK AND AUTO STOP Submit completed form to: <br /> Facility address: 3940 N TRACY BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182335 ATTN:CAROL PRESTO <br /> PRO520832 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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 /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: P��/Qu, <br /> � � M <br /> Violation#11 -I=alled to provide or document initial and/or refresher training to appropriate personnel. <br /> 49'-This violation was corrected ❑This violation will be corrected by(date): <br /> C3-'Supporting documents Included <br /> Describe actions taken or will be taken to correct violation: <br /> r <br /> rck�vv�ti , <br /> Page 2 of 2 <br /> Rov.9/16/2020 <br /> 1868 E. Hazelton AveniiQ i r-11�___:- ^5206 1 T 209 468-3420 1 F 209 464-0138 1 www,sjgov.org/EHb <br /> Received Time Aug, 18, 2021 ' 4: 16PNr'No, 6869 <br />