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SAN JOAQU I N Environmental Health Department <br />COUNTY <br />.-` Greatness grows here. <br />Corrective Action Statement <br />RE: September 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. Also, <br />describe what was done to correct the violation in the space provided below each violation. Submit this completed <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Carol Presto at (209) 616-3061 or cpresto@sjgov.org. <br />Facility name: JOSS SMOG SHACK INC. Submit completed form to: <br />Facility address: 500 E TENTH ST UNIT E SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10187017 ATTN: CAROL PRESTO <br />PR0528002 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 1 This violation will be corrected by (date): " <br />❑ Supporting documents included <br />Describe actions taken or will be taken to c rrect violation: L�(I'j C��Y�.S c! d S a..F1na <br />1 I <br />Page 2 of 2 <br />Rev. 911612020 <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 />