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Environmental Health Department <br />Corrective Action Statement <br />RE: September 27, 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. <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 John Alaniz at (209) 616-3053 or jalaniz1@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: JOHN ALANIZ <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to:TESLA <br />none <br />3131 AUTO CENTER CIR <br />PR0520840 <br />Violation #2 - Failed to initially complete and electronically submit a HMBP. <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: <br />Violation #3 - Failed to establish and implement a hazardous materials business plan. <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: <br />Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <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: <br />Page 2 of 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />See Attachment 2 (CERS/HMBP). <br />X <br />See Attachment 2 (CERS/HMBP) and <br />Attachment 3 (Training Records). All trainings were provided by Tesla on Tesla's Internal <br />Training Modules. <br />See Attachment 2 (CERS/HMBP). <br />x <br />X <br />X <br />X <br />X