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SAN JUA � UIN <br /> Environmental at <br /> C 0 U I`, T Y FEB 2 5 2022 <br /> ENVIRONMENTAL HEALTH <br /> Corrective Action Statement PERMIT/ SERVICES <br /> RE: January 26, 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. Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed for <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 : CANEPAS CAR WASH Submit completed form to: <br /> Facility address : 6230 PACIFIC AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181251 ATTN: ROBERT LOPEZ <br /> PR0519724 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> IN 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: WL A % 4 ci S CA '6 M. ' 6r\ <br /> h0 -) - GWIM J �kS 10tk ( � em i cift ( G& S a. ( e OK <br /> bt 4rll 0� lvl A <br /> h �. p <br /> Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> El This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included II^ I <br /> Describe actions taken or will be taken to correct violation : �hl S (X IAIa S ►J /�� �5 6 �' <br /> t t? A f xc otdm, o k c� <br /> �l 0 C o f (r G,.Q D to Lf q 6A , <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 : Adillo n R W m (1 k) <br /> (( A 26 r h ( PS <br /> Page 2 of 4 <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 />