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Environmental Health Department <br /> S 1J1 0 40 U IN <br /> ,�' <br /> O � Y _ , <br /> Corrective Action Statement <br /> RE: November 06, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Alberto Fernandez at(209)616-3037 or ALBERTO.FERNANDEZ@SJGOV.ORG. <br /> Facility name: WILSON WAY CHEVRON Submit completed form to: <br /> Facility address: 437 N WILSON WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180899 ATTN:ALBERTO FERNANDEZ <br /> 1868 E HAZELTON AVENUE <br /> PR0521187 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 /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 2 <br /> Rev.911612020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 ( F 209 464-0138 1 www.sjgov.org/EHD <br />