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SAN JOAQUIN Environmental Health Department <br /> l\iTY <br /> Corrective Action Statement <br /> RE: June 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 Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br /> Facility name: ANTONINI ENTERPRISES LLC Submit completed form to: <br /> Facility address: 287 N CARDINALAVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183303 ATTN: ROBERT LOPEZ <br /> PRO539935 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #4-Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> CLY This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included c <br /> Describe actions taken or will be taken to correct violation: Say'QCrl ,+�CJ p� <br /> Violation #5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> / <br /> site. <br /> hd This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will betaken to correct violation: &1)n120' 4—C,re-y-4; <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> M/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: <br /> Rev.9116/2020 Page 2 of 3 <br /> 1868 E. Hazelton Avenue j Stockton, California 95205 j T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />