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SAN J OAQ ] I N Environmental Health Department <br /> cC-)UIN V <br /> Corrective Action Statement <br /> RE: February 14, 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: GOING UP LLC Submit completed form to: <br /> Facility address: 6768 S LINDBERGH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10836721 ATTN: NICHOLAS LOEHRER <br /> PR0520544 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 /> XThis violation was corrected D This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: W F //A/7A T F12 Tiles ///#BQ- <br /> &ff EAZ T Z& G,4.5 7 7'p !i P09 T6 <br /> T, T 5 4 /D /i/o Tis/ Z& " T TIVI s 7--///y 4E 1}'Ale <br /> z Td/V S T WIC47 <br /> //,419 7'0 YIZ7 a�' C�y s v� T -4 A-j-r ,q E G� <br /> 619 © cfT 14194 T To Z9 0, <br /> Page 2 of 2 <br /> Rev 911612020 <br /> 1868 E. Hazelton Avenue Stockton, California 952051 T 209 468-3420 1 F 209464-0138 1 www sjgov.org/EHD <br />