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S AN J O A Q U I N Environmental Health Department <br />: l -y <br />Corrective Action Statement <br />RE: March 30, 2023, 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 />Nicholas Loehrer at (209) 466-0623 or nloehrer@sjgov.org. <br />Facility name: J M EAGLE (WS) Submit completed form to: <br />Facility address: 1051 SPERRY RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181605 ATTN: NICHOLAS LOEHRER <br />PR0519850 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 />pf This violation was corrected ❑This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will betaken to correct violation: <br />�/IveA/orP¢s W (iC.yflrlaEcd 4nrl (e.Viscd Pn C�-J u« V ip �AY�on <br />S a� <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 <br />Supporting documents included — SITE- ON <br />Describe actions taken or will be taken to correct violation: <br />ifc rVw" w�A (ILI Ale M inC.4,c(e SFurM r;ial Uf;l;i <br />Page 2 of 3 <br />Rev.&7&2020 <br />1866 E. Hazelton Avenue I Stockton, California 95205 i T 209468-34201 F 209464-0138 i www.sjgov.org/EHD <br />