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SAN JOAQUIN Environmental Health Department <br /> ;J Y <br /> Corrective Action Statement <br /> RE: January 20, 2022, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Nicholas Loehrer at(209)468-0623 or nloehrer@sjgov.org. <br /> Facility name: CUSTOM BUILDING PRODUCTS <br /> Submit completed form to: <br /> Facility address: 3525 ZEPHYR CT SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184893 ATTN: NICHOLAS LOEHRER <br /> PRO522260 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> �� <br /> LK 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 /> Violation#6-Failed to electronically submit a site map with all required content. <br /> IK 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: V t� b h r YLS <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> 1:9"1" <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included l 7 I p <br /> Describe actions taken or will be taken to correct violation: V j C+ C—dA p.' 1Z S <br /> Rev_911612020 Page 2 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org1EHD <br />