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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: August 31, 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: ESCALON PREMIER BRANDS Submit completed form to: <br /> Facility address: 1905 S MCHENRY AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181607 ATTN: HAZA SAEED <br /> PR0519451 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#4-Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> tR 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: Updated CERS, changed to Javier Lora. <br /> CERS submittal on 9/24/2021. <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 /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Logged into CERS and included waste ink, <br /> cleaner liquid 120 and silver nitrate to the hazardous materials inventory. <br /> CERS submittal on 9/24/2021. <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: Logged Into CERS and uploaded most up to <br /> date maps of the Escalon Facility. Will continue working with the Engineering Manager <br /> to create a map with additional information. <br /> CERS submittal on 9/24/2021. <br /> Page 2 of 3 <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 />