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SAl,lOJOAOUIN Environmental Health Department <br />COUNTY <br />(rr'i:r.i.';f.S i iJtiI|,/:: llflI I <br />Corrective Action Statement <br />RE: August 16,2021, 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. lf you have any questions, <br />please contact Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br />Facility name: US Air Conditioning Distributors - Stockton Branr Submit completed form to: <br />Facility address: 2455 Teepee Dr SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10748761 ATTN: ROBERT LOPEZ <br />PRO5424O2 1868 E HMELTON AVENUE <br />sTocKToN, cA 95205 <br />Violation #5 - Failed to electronically submit hazardous materials inventory for all repoftable materials on <br />site. <br />A This violation was corrected tr This violation will be corrected by (date): <br />tr Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />rdou fvtroitrri4l lnventor ed to eofrec <br />rt ln 0{f0 qno {r orn o u nd.r 'i0 qllonj'. <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />/rn =violation was corrected tr This violation will be corrected by (date): <br />tr Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />6lte M W OIJ dqtrd io re{l re in'le <br />r <br />fnc f, <br />J t ern eY enc e ul mceq <br />4nd emsr h 0 <br />Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br />d fnls violation was corrected tr This violation will be corrected by (date): <br />d Suppo*ing documents included <br />Describe actions taken or will be taken to correct violation: <br />r 0ln n h bee r f <br />c ti ghc n.f e ha ve <br />been ddr <br />Rev. e/16/2ozo Page 2 ol 2 <br />'l363E.HazeltonAvenuelStockton,California95205lT 209468-3420 | F 209464-0138 lwww.sjgov.org/EHD <br />E e