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S A N D oA Q U N Environmental Health Department <br /> CC) UNTY <br /> Corrective Action Statement <br /> RE : September 30 , 2020 , 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. Alsc <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed fc <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions , please contact <br /> Elena Manzo at (209) 953-7699 or emanzo@sjgov. org . <br /> Facility name: EUGENE CAFFESE Submit completed form to: <br /> Facility address: 5475 S VAN ALLEN RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181781 ATTN: ELENA MANZO <br /> PRO525784 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #11 - Failed to provide or document initial and/or refresher training to appropriate +personnel, <br /> oore This violation was corrected x1aoOThis violation will be corrected by (date) : l t � t 0 <br /> Supporting documents included l� <br /> Describe actions taken or will betaken to correct violation: tttlZ " n ( S fona+t j S ► ` <br /> SQ <br /> S PA <br /> 0 n R to 21 OW 01 A Ig aep c <br /> Page 2 of 2 <br /> Rev, 9116/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468-34201 F 209 464-0138 1 www, sjgov. org/EHD <br />