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M�I� Environmental Health Department <br />u <br />'--COUNTY— <br />Greatness <br />COUNT <br />Greatness grows here, <br />Corrective Action Statement <br />RE: September 07, 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Haza Saeed at (209) 953-6212 or hsaeed@sjgov.org. <br />Facility name: UNITED STATES COLD STORAGE, TRACY Submit completed form to: <br />Facility address: 1400 N MACARTHUR DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10183429 ATTN: HAZA SAEED <br />PR0520221 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />C This violation was corrected ❑ This violation will be corrected by (date): <br />L Supporting documents included <br />Describe actions taken or will be taken to correct violation: See Statement letter for corrections and documents. <br />Violation #7 - Failed to electronically submit an adequate ER procedures for a release or threatened <br />release. <br />[29 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: See Statement letter for corrections and documents. <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 />