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D U) <br />VHNO1iQVI11 <br />COUNTY <br />t;r:Nn!n^ss grows hore <br />Corrective Action Statement <br />RE: May 24, 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 Return to Compliance Certification within 30 days of inspection. If you have any questions, <br />please contact Kristina Saetern at (209) 616-3045 or ksaetern@sjgov.org. <br />AW \/616 e\{ Ph&: <br />Facility name: Pff IORTnMPQRT Submit completed form to: <br />Facility address: 17495 S SEIDNER RD <br />'ERS ID: 10185135 <br />PR0525893 <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: KRISTINA SAETERN <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #12 -Failed to have the HMBP readily available to facility or EHD personnel. <br />l� This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Support <br />ing documents included <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD <br />