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SAN J O A Q U I N Environmental Health Department <br /> a u <br /> COUNTY <br /> Greatness grows b <br /> Corrective Action Statement <br /> RE: January 26, 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. <br /> Also,describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Retum to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> A&D RUBBER PRODUCTS CO INC, 7438 BOURBON ST, CERS ID: 10185157, PR0524461 <br /> Violation#9-Failed to annually review and certify that the HMBP Is complete and accurate by the due date. <br /> X This violation was corrected O This violation will be corrected by(date): <br /> 2r Supporting documents Included <br /> Describe actions taken or will be t ken to correct violation: <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 /> Q"Supporting documents Included <br /> Describe actions taken or will be taken to correct violation: <br /> `-�r0, rl42 <br /> Page 3 of 3 <br /> Rev.9116!2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orgtEHD <br />