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S A N J a A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: October 07, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Haza Saeed at(209)953-6212 or hsaeed@sjgov.org. <br /> Facility name: INDUSTRIAL SOLUTION SERVICES INC Submit completed form to: <br /> Facility address: 1433 N BROADWAY AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10187175 ATTN: HAZA SAEED <br /> PRO528731 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 1 -Failed to provide or document initial andlor refresher training to appropriate personnel. <br /> is violation was corrected ❑This violation will be cor acted by(da ): <br /> Supporting documents included <br /> D 'be actio taken or will b takeVo correct violation: <br /> t ' f1 LiJ zzze n <br /> ` , n <br /> Page 2 of 2 <br /> Rev.9116/2020 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />