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ll �f1 I I I Ir`I Environmental Health Department <br /> Il U U111 <br /> J <br /> tmm! j —COUNTY— <br /> Greatness rig Greatness grows Frere. <br /> Corrective Action Statement <br /> RE: December 09, 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 Elianna Florido at(209)616-3050 or eflorido@sjgov.org. <br /> Facility name: Nella Oil#427 Submit completed form to: <br /> Facility address: 3300 Waterloo Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10124584 ATTN: ELIANNA FLORIDO <br /> PR0520252 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: Updated the site plan on CERS to include the <br /> the following: emergency phone, first-aid, fire extinguishers, and entrance/exit locations. Site map will <br /> be posted at the facility. <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 />