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SAN 10AQUIN <br />__ � ... C- C� U til T Y <br />Environmental Health Department <br />corrective Action Statement <br />RE: May 11, 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 foi <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Elianna Florido at (209) 616-3050 or eflorido@sjgov.org. <br />Facility name: LOPEZ & LOPEZ AUTO REPAIR <br />Facility address: 2312 E WEBER AVE <br />CERS ID: 10184773 <br />PR0521638 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: ELIANNA FLORIDO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #5 -Failed to electronically submit hazardous materials inventory for all reportable materials on <br />site. <br />D/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: SUIo �n � '�-I-�� ��"` � � S <br />Violation #9 -Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br />D�This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: S U b � �' 1 � � >° �y �� L'>u �S, <br />Violation #12 -Failed to have the HMBP readily available to facility or EHD personnel. <br />®This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />�opy o -F HMI3� �S onsite. <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />