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SAN JOAQUIN Environmental Health Department <br /> z . <br /> Corrective Action Statement <br /> RE : February 25 , 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 . <br /> Also , describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact John Alaniz at (209) 616-3053 orjalanizl@sjgov. org . <br /> Facility name : FOOD MART GASOLINE* Submit completed form to : <br /> Facility address : 2185 E FREMONT ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181081 ATTN : JOHN ALANIZ <br /> PR0522271 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site . <br /> 0 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 /> (_l, <br /> C^-7T'c' s <br /> Violation #6 - Failed to electronically submit a site map with all required content. <br /> JZf 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 /> C3 1 H by v <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 . sjgov. org/EHD <br />