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COMPLIANCE INFO_2022
Environmental Health - Public
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1900 - Hazardous Materials Program
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PR0519776
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COMPLIANCE INFO_2022
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Last modified
5/6/2022 4:18:47 PM
Creation date
3/22/2022 9:44:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0519776
PE
1921
FACILITY_ID
FA0009618
FACILITY_NAME
FOOD EXPRESS INC
STREET_NUMBER
1250
Direction
E
STREET_NAME
MADRUGA
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
24141028
CURRENT_STATUS
01
SITE_LOCATION
1250 E MADRUGA RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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OIJIN <br />Environmental Health Department <br />Corrective Action Statement <br />RE. February 24, 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 c sjgov.org. <br />Facility name: FOOD EXPRESS INC Submit completed form to: <br />Facility address: 1250 E MADRUGA RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182799 ATTN: PAUL NSO <br />PR0519776 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on 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 />h&tl been iJ i)AIon «IR <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): St 1'C <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: r"1 f) pd� on <br />ib� <br />L CR <br />Violation #7 - Failed to electronically submit an adequate ER procedures for a release or threatened release. <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: � Lf ( _ (-yr--eJ(Jr"'PS <br />i I 1 cl <br />Page 2 of 4 <br />Re,— 9,1;VM23 <br />838'_.4-376W j,rf[ 'cc i1.l`tj r "?4t,`.S 22 F�-pEl{!.-) <br />
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