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• wt <br />SANAUAQUIN <br />--COUNTY- <br />GrearrwiS c�rc,v;b i,Er. <br />Environmental Health Department <br />Corrective Action Statement <br />RE: December 21 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. <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 Gabriela GarciaWejia at (209) 616-3037 or ggarcia-mejia@sjgov.org. <br />Facility name: WESTERN FOOD &FUEL <br />Submit completed form to: <br />Facility address: 3032 E WATERLOO RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10180877 ATTN: GABRIELAGARCIA-MEJIA <br />PR0520387 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #9 - Failed to annually review and certify that the HMBP is complete and accurate by the due date. <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: <br />�/ Sr OZa <br />Violation #11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br />❑ This violation was corrected <br />❑ 1 Supporting documents included <br />This violation will be corrected by (date): CGI — S — � ��� <br />Describe actions taken or will be taken to correct violation: <br />Violatio #12 -Failed to have the HMBP readily available to facility or EHD personnel. <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: <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />