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i <br /> " � OAQUIN Environmental Health Department <br /> SANa . <br /> COU I' lTY <br /> I <br /> Corrective Action Statement � <br /> RE. September 18, 2020, Hazardous Materials inspection report <br /> For each violation listed below, iildicate iF the violation has been corrected or wi11 be corrected by a cartaln date. Also, <br /> describe what was done to correct the violatlon in the space provided Wow each violation. Submit this Completed far <br /> with the Return to Compliance Certification within 30 days of inspectloh, if you have any questions, please contact <br /> Robert Lopez at(209) 953-6214 or rlopez .sjgov.org. ; <br /> Fsct,4ly narne: veftm vorabss Souza Submit u &,fed form tv i <br /> Facility address: 2826 L Myrtle St SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> ERS 10; 10145343 ATTN: ROBERT LOPEZ <br /> PRO538209 1 K B E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #6-Felled to electronically submit a sl to map with all required content. ' <br /> a This violation was corrected ❑ This vlolation will be corrected by (date): -_ <br /> Supporting documents included <br /> DkCHhe actions taken or will be taken to oorrect violation; <br /> Violation 411 -Failed to provide or document Initial andtor refresher training to appropria[a personnel. <br /> ❑ Th Is violation was corrected ❑ Th is violation will be corrected by (date): <br /> Supporting documents Included <br /> Describe actlons taken or will be taken to correct violation: <br /> page 2 of 2 <br /> Rev-WIW2" <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 466-3420 F 209 464-0938 1 Www.sjgov.org1EHD <br />