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Environmental Health Department <br /> SANA0A0UIN <br /> COUNTY <br /> a� Greatness grows here. <br /> Corrective Action Statement <br /> RE: May 05, 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 Robert Lopez at(209) 953-6214 or rlopez@sjgov.org. <br /> Facility name: CLUTCH AND BRAKE XCHANGE INC Submit completed form to: <br /> Facility address: 900 SHAW RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182753 ATTN: ROBERT LOPEZ <br /> PR0519698 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6 -Failed to electronically submit a site map with all required content. <br /> Iii] This violation was corrected ❑ This violation will be corrected by (date): <br /> � Supporting documents included (n�,��II nAqA <br /> Describe actions taken or will be taken to correct violation: 1 1C�V� % I.11 ll" I " <br /> (45MM WIT* it R&IMOM . <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 /> C`1 Supporting documents included <br /> Describe e 1��y T111�MII�IJ <br /> actions taken or will be taken to correct violation: 1 I m <br /> wn-Vi1 l 1L Wb Awn- <br /> Violation <br /> olation#11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> 11 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: <br /> M T - 0 fW WMN NU <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 />