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SAN (10 A Q U IN Environmental Health Department <br />c_c)urJTY <br />Corrective Action Statement <br />RE: December 28, 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 foi <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br />Facility name: POWER LANE LOGISTICS Submit completed form to: <br />Facility address: 1111 NAVY DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: none ATTN: ROBERT LOPEZ <br />PR0547382 <br />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):2- <br />01'0�Supporting documents included <br />Describe actions taken or will be taken to correct violation: tNv "Lo' Gt S � rVra <br />4\,t W c9 -i l_ c7r,: <br />r� <br />Violation #11 <br />-Failed to provide or document initial and/or refresher training to appropriate personnel. <br />❑ This violation was corrected This violation will be corrected by (date): Z S/Z z <br />MAupporting documents included <br />Describe actions taken or will be taken to jcorrect violation: 1 I-Y-Uti P,t,J cocm," <br />.t _�M }.�—V��F1�('HAo?/rL4J'✓L 1,�= 'C'�Cr-�l_l+.%i G.�y�P.X 4 _ _7 (V \� 'Q <br />Violation #12 -Failed to have the HMBP readily available to facility or EHD personnel. <br />ElThis violation was corrected WThis violation will be corrected by (date): a( <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: `jam e� t � <br />r <br />- <br />Page 2 of 2 <br />Rev. 9/1 612 0 2 0 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 (www.sjgov.orglEHD <br />