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SAN 10AQUIN <br />COUNTY <br />� ;A Grnptness growc hol <br />En vironmental,,Healti Inagment <br />� !4 : 11 <br />Corrective Action Statement ,-i,IVIRONMENTAL HEALTH <br />RE: February 15, 2022, Hazardous Materials inspection report RMIT/SERVICES <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 vvang-lee@sjgov.org. <br />Facility name: E F KLUDT &SONS INC <br />Submit completed form to: <br />Facility address: 1126 E PINE ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />'ERS ID: 10181397 ATTN: VICKY VANG-LEE <br />PR0519409 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 />This violation was corrected <br />Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct <br />Violation #6 -Failed to electronically submit a site map with all required content. <br />This violation was corrected ❑This violation will be corrected by <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />