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AN J U A Q U I N Environmental Health Department <br />.1.._C0UNTY <br />Corrective Action Statemel <br />RE: May 10, 20215 Hazardous Materials inspection rep <br />i or each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. <br />!so. 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 Robert Lopez at (209) 953-6214 or riopez('cbsjgov.orcg. <br />WESTERN SQUARE INDUSTRIES INC, 1621 N BROADWAY AVE, CERS IQ 10182849, PR05 <br />Violation #10 -Failed to electronically update the HMBP within 30 days of substantial change in operations. <br />J. This violation was corrected ❑ This violation will be corrected by (date): Z <br />❑ Supporting documents included <br />escribe actions taken or will be taken to correct vioiation: Z��� /`1©'CY� <br />D <br />Violation #11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br />lLl This violation was corrected 11 This violation will be corrected by (date): <br />LI Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Paae 3 of 3 <br />Rev. 9116/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />