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��� N Environmental Health Department <br />C 0 L1 N T Y..____.. <br />5.art` i.J'tFs5 Y,:nw: he r,. <br />Corrective Action Statement <br />RE: March 22, 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 fol <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br />Facility name: ANTONINI ENTERPRISES LLC 207 STOCKTO Submit completed form to.- <br />Facility <br />o:Facility address: 207 N CARDINALAVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10859593 ATTN: ROBERT LOPEZ <br />PR0546412 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 />Q This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included , L <br />Describe actions taken or will be taken to correct violation: C E P S <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />9"" 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: yy: " AA2!_A 0-n , E <br />Violat <br />ion #9 - Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br />61 This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included 1 <br />Describe actions taken or will be taken to correct violation: 4 A 1` h Y)n; / 4 0 Y-) � <br />Page 2 of 3 <br />Rev, 9/1612020 <br />1868 E. Hazelton Avenue I Stockton. California 95205 J T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />