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SAN J Q Q O U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : September 01 , 2021 , 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 <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Carol Presto at (209) 616-3061 or cpresto@sjgov. org . <br /> Facility name : COX BROS TIRE SERVICE Submit completed form to : <br /> Facility address : 507 E ELEVENTH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10182823 ATTN : CAROL PRESTO <br /> PR0519798 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #9 - Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> This violation was corrected This violation will be corrected by (date) : <br /> [3 Supporting documents included V <br /> [3 <br /> Describe actions taken or will be taken to orrect violation : <br /> � , l � �.. tau Y�� o �•, �,U.c ti-- �, � � � �, � �' � ? �-�, ��, <br /> Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel . <br /> 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 : C r-G i i i c- / W e. 4� r7 <br /> Violation #19 - Failed to submit a certification and written response within 30 days for minor violations . <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> Supporting documents included <br /> pp g <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 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov . org/EHD <br />