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SAN 10AQUIN Environmental Health Department <br /> COUNTY- - . <br /> f� fCi/ 1'.r7kS5 yr ? :as )tEr C, <br /> Corrective Action Statement <br /> RE : August 10 , 2022, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions, please contact <br /> Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br /> Facility name: CALIFORNIA HOT WOOD INC Submit completed form to: <br /> Facility address: 2467 E FRENCH CAMP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10183363 ATTN: PAUL NSO <br /> PR0520185 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation 45 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> na�prihn nntinn_c taken nr will ha taken to correct violationi <br /> s�L We Sr Z06e IWOOU6111 lE,Q s aA� <br /> Violation #6 - Failed to electronically submit a site map with all required content. <br /> N This violation was corrected ❑ This violation will be corrected by (date): <br /> W Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> STS u�vy.NrFO 9J✓,�v 6/� �. C� otil � z � - a �" <br /> I <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: <br /> AIA6GCS fbd,L✓ 735 /D /)! !/< 42411ACdV .( 9 rel.4 <A A4 <br /> G�,al ;AJ0V 1, 1 4iN/N6 . <br /> /Ile 4 Loveef ,beF 48 WD we-W Q YM AMC <br /> {/l /L/�Naovsy of /FCILi �/Y QruNC 7, w7 4rCr11VeCj7vt1" <br /> Page 2 of 2 <br /> Rev, 9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton , California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />