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QEnvironmental Health Department <br /> SANJOAUIN <br /> C 0 t N ! Y <br /> Corrective Action Statement <br /> RE: January 05, 2022, 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 Kristina Saetem at(209)616-3045 or ksaetem@sjgov.org. <br /> Facility name: VAN DE POL ENTERPRISES INC Submit completed form to: <br /> Facility address: 816E FRONTAGE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181513 ATTN: KRISTINA SAIETERN <br /> PRO512631 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> Er"'This violation was corrected 0 This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: MAQ <br /> kyv� ak\o%-w."A hp - I <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened release. <br /> CK This violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: r� h6,c- be-e- , <br /> rL--qjLt-'nd"X*'C'C' <br /> Violation#9-Failed to annually review and certify that the HMBP Is complete and accurate by the due date. <br /> W'This violation was corrected E3 This violation will be corrected by(date): <br /> 0 Supporting documents Included <br /> Describe actions taken or will be taken to correct violation: <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.sigov.org/EHD <br />