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SAN J O A Q U I N Environmental Health Department <br /> COUNTY In � � ��� <br /> C, r . , r , , , . r� r ,, :v •. hrn • <br /> Corrective Action Statement Nov 16 2022 <br /> RE: October 19, 2022, Hazardous Materials inspection , RQ9ClbNMENTp u HEAT `I <br /> MITIsFRVICES <br /> For each violation listed below, indicate if the violation has been corrected or will be correct4 y a certain date. Also, <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed for <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: COMPLETE WELDERS SUPPLY INC Submit completed form to: <br /> Facility address: 1549 N BROADWAY AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183783 ATTN: ROBERT LOPEZ <br /> PR0521131 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> jl3( This violation was corrected ❑ This violation will be corrected by (date): <br /> I�r Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> - A & A %IehlAi - d!r126Aed on Ce2425 o�� s ud .rri�s �an �Er ?0,2 tdaa <br /> •—';' d ori / // S� / AO 2 <br /> Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> X 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 /> SE�.Pfftrc/LeA av/ f/�auro'o ✓s fimAn'aw( io der; A 5e iyoj 5VZWer1re c7 / // v AZ <br /> 1t7f/eA,t%is y e4/ad rze . el cvr d !e Sw6 s%r reed zA? /240 ZZ <br /> Violation #6 - Failed to electronically submit a site map with all required content. <br /> 5r This violation was corrected ❑ This violation will be corrected by (date): <br /> ld Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> - XCE 97 a ed O ejCXZ 'e �pr a �r' x st'hoe4lAe?.) //i C/A0 22 - adds de*L� <br /> CaJad ' �m-deeled leSu 6n2efired rr / / / zo 22 <br /> Page 2of3 <br /> Rev. 9/16/2020 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/EHD <br />