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c°rll ,O�nlll� Environmental Health Department <br /> N <br /> QU <br /> Y <br /> !L.IrCOUNTY <br /> � '`" GfQotn�Si gr�w� here, <br /> Corrective Action Statement <br /> RE: June 14, 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. <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 Elianna Florido at(209)616-3050 or eflorido@sjgov.org. <br /> Facility name: AutoZone#2858 Submit completed form to: <br /> Facility address: 1100 N Wilson Way SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10140027 ATTN: ELIANNA FLORIDO <br /> PR0520552 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> V 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 /> The site map was corrected and submitted into CERS <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> ff 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 /> The date to annually submit the HMBP has been adjusted on a calendar so going forward <br /> the HMBP will be submitted before the expiration time. <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> 0 This violation was corrected ❑This violation will be corrected by(date): <br /> V Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Due to a change In corporate policy the training <br /> was delayed. Hpwever all AutoZoners at#2858 have taken The CA Environmental Training. (see <br /> attached form) <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 />