Laserfiche WebLink
;AN J O A Q U I N Environmental Health Department <br />14 t T <br />Corrective Action Statement <br />RE: June 21, 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 Frederick Ernest at (209) 616-3026 or fernest@sjgov.org. <br />Facility name: PENNY NEWMAN GRAIN <br />Submit completed form to: <br />Facility address: 1805 HARBOR RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182497 ATTN: FREDERICK ERNEST <br />PR0520914 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 />Violation #6 -Failed to electronically submit a site map with all required content. <br />FM <br />Rev. 9/16/2020 <br />This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />186$ E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 4640138 � www.sjgov.orglEHD <br />