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SAN JOAQUIN Environmental Health Department <br /> C0Ui, TY <br /> Corrective Action Statement <br /> RE: May 20, 2021, 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: Haley Contracting Submit completed form to: <br /> Facility address: 4228 Newton Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10415455 ATTN: ROBERT LOPEZ <br /> PRO522263 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6 -Failed to electronically submit a site map with all required content. <br /> ,'4 This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Despribe acti ns taken or will be takeqtq correct violation: <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <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. <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> X This violation was corrected ❑ This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions tori or will be taken to c rrect violation: <br /> _ •, <br /> G� <br /> 1 <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 />