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UI <br />Corrective Action Statement <br />RE: March 08, 2022, Hazardous Materials inspection report <br />For each violation listed below, indicate if the violation has been corrected or will be corrected Iby a certain date. Also, <br />describe what was done to correct the violation in the space.provided below each violation. Suibmit 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: TIRE CHOICE Submit completed form to: <br />Facility address: 1131 HOLLY DR SJC ENVIRONMENJTAL HEALTH DEPARTMENT <br />'ERS ID: 10184261 ATTN: CAROL PRE -STO <br />PR0520863 1868 E HAZELTOM AvE4Ut <br />STOCKTON, CA 95205 <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 (date;): <br />9 Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />/y�'7/ HT1 �/W z7 /J. -cid Z�S/'' <br />Violation #9 - Failed to annually review and certify that the HMBP is complete and accurate' by the due date. <br />Nd <br />This violation was corrected <br />❑ This violation will be corrected by (date>): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />/Z/.Z� LZM /a <br />/� i �✓'V' i; T'r� <br />/ > a / l °i ,� /Fo � ! 41yzo 6� Px9y� zw S Ciy> t- 2� s %� <br />AI'R 0 7 2022 <br />ENVIRpNMENTgL H,#=A <br />L-� <br />�EP�RrMENr <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-C 138 I www.sjgov.org/EHD <br />