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''';]-.1 "[,a-iS*;*# , <br />'"- -:":t1 <br />Facility name: WILSON WAY CHEVRON <br />Facility address: 437 N WILSON WAY <br />CERS lD: 10180899 <br />PR0521 187 <br />Environmental Health DePartment <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: ALBERTO FERNANDEZ <br />1868 E HMELTON AVENUE <br />sTocKToN, cA 95205 <br />tr This violation will be corrected by (date): <br />$&bl#jfie$t}1il* e ffiL$ NTV* ^* <br />#re*g,qe:$ 6++an* &€t*. <br />,P This violation was corrected <br />'A Supporting documents included <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 ctone 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. lf you have any questions, please <br />contact Alberto Fernandez at (209) 616-3037 or ALBERTO.FERNANDEZ@SJGOV'ORG' <br />Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br />Describe actions taken or will be taken to correct violation: <br />-4 <br />- <br />',,r2 - , 1 ^^f C ' ' ,{, f i1 4 <br />o , ( 1', /) / <br />/ <br />Page 2 of 2 <br />1868 E. Hazetton Avenue I Stockton, California 95205 | T 209 468-3420 | F 2Ag 464-0138 | www.sjgov.orglEHDRev.9/16/2020