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S A N J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Cir€otnass err s here, <br /> Corrective Action Statement <br /> RE: February 08, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Haza Saeed at(209)953-6212 or hsaeed@sjgov.org. <br /> Facility name: CITY OF STOCKTON TERTIARY TREATMENT PLAI Submit completed form to: <br /> Facility address: 3307 W HWY 4 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10153933 ATTN: HAZA SAEED <br /> PR0519672 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#4-Failed to electronically submit the Business Activities or Owner[Operator Identification page. <br /> XThis 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 /> [,EA55 Sr„'F- Am AC H fn u 04-0 r <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <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 /> 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: <br /> Page 2 of 3 <br /> Rev.9116'22' <br /> 1868 E Hazelton Avenue I Stockten, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www sjgov.orglEHD <br />