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S A Nd 0 A Q U IN Environmental Health Department <br /> N I `i' <br /> Corrective Action Statement <br /> RE: November 29, 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. <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 Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: LODI USD-MAINTENANCE OPERATIONS#2(LODI Submit completed form to: <br /> Facility address: 880 N GUILD AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10852123 ATTN:VICKY VANG-LEE <br /> PR0547024 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 /> 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: Items that were not electronically submitted have <br /> been entered into CERS via the Hazardous Materials Inventory (Clorox 360, Elastomeric Exterior Coating). <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(date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Per inspection, updated map has been uploaded <br /> to CERS with required content. <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: Annual training is provided by Keenan and <br /> Associates. Documentation was not provided at time of inspection and is attached to RTC. <br /> Training for this school year was completed 12/5/23. <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 />