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SAN J O A Q U I N Environmental Health Department <br />COUNTY <br />Corrective Action Statement <br />RE: April 11, 2023, 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 />laza Saeed at (209) 953-6212 or hsaeed@sjgov.org. <br />Facility name: CHINCHIOLO STEMILT CALIFORNIA <br />Submit completed form to: <br />Facility address: 4799 N JACK TONE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />'ERS ID: 10183509 ATTN: HAZA SAEED <br />PR0520289 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 />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Sothis will not happen <br />of reviewing and subn <br />I have setup a calender date reminder in November of each <br />necessary documents. <br />r to start the <br />Violation #10 -Failed to electronically update the HMBP within 30 days of substantial change in operations. <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 />I have setup a calender reminder in November of every year, to <br />documents. <br />Page 2 of 2 <br />and submit needed <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 i www.sjgov.org/EHD <br />