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SANpJOA UIN <br />Greotness, V0,01 heri. <br />Environmental Health Department <br />Corrective Action Statement <br />RE: August 30, 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 Vicky Vang-Lee at (209) 616-3028 or Wang-lee@sjgov.org. <br />Facility name: VALLEY SMOG &REPAIR <br />Facility address: 325 E KETTLEMAN LN #325 <br />,ERS ID: 10182833 <br />PR0519814 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: VICKY VANG-LEE <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <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: 0)0 %0 V OWCll <br />�e� Qbye- I 1 TitMkW MuAM/ <br />Violation #11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <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:% r/'Gi ►'V'i �, tt 9 �(S QO V1 <br />Violation #19 -Failed to submit a certification and written response within 30 days for minor violations. <br />NO <br />Ray. snsrzozo <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: F ue` Nv -i'WV4 y <br />LA <br />Page 2 of 2 <br />1868 E. Hazelton Avenue ( Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD <br />