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S A N ) A U IN Environmental Health Department <br /> Corrective Action Statement <br /> RE: September 17, 2019, 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 for <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Robert Lopez at(209)953-6214 or rlopez@sjgov.org. <br /> Facility name: QUINTEROS AUTO REPAIR Submit completed form to: <br /> Facility address: 1555 REPORT AVE STE 1537 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10825621 ATTN: ROBERT LOPEZ <br /> PR0543969 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#1 -Failed to pay annual operating fees. <br /> )i` 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: Z cci�-s <br /> 1LV14-4',� 15 <br /> Violation#6-Failed to complete and/or submit a site map with all required content. <br /> ❑ This violation was corrected tjhis violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#12 -Failed to have the business plan readily available to facility or EHD personnel. <br /> ❑ This violation was corrected bLThis violation will be corrected by(date): LO <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Rev.8/22/2019 Page 2 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www,sjcehd.com <br />