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SAN J O A Q U N Environmental Health Department <br /> Corrective Action Statement <br /> RE: February 09, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: MAIN STREET ARCO AM PMS Submit completed form to: <br /> Facility address: 1100 S MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182243 ATTN: PAUL NSO <br /> PRO520542 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#11 -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): <br /> Y 1 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: TtAt E W L-o y EE 19,hk V N& FoR,nn vet A-S <br /> F�l.E9 1NA4���o�-NZLy int "fElc-- OsT <EcTwN iNSTEk-b of 'Tett 44AZAA,f -a0 s <br /> Mk7Et��nt_S SELT►oQ . Tu►s NAs Q)EEt,� C-CV VtLTED AW hPPOP(LIh`TEL- j Fkl<ED <br /> �t-tE A-C-rp,L44ED DuLL� SIUNED TP-Atn N(:j FAM . <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/EIID <br />