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SAN J O Q Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: May 19, 2020, Hazardous Waste 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)468-3147 orjalaniz1@sjgov.org. <br /> Facility name: POLY PROCESSING COMPANY LLC Submit completed form to: <br /> Facility address: 8055 S ASH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182565 ATTN:JOHN ALANIZ <br /> PR0513746 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <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: � ktC. v <br /> Viollatiion#110-Failed to keep signed copy of manifests from the designated facility for three years. <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: FILL rl`'I F917'1 411 1 j IPI 12-is <br /> � 1 A-* j-^Nr n ; ni\-6 a 1— A—j� -y0 1-7 2010 <br /> Violation#113-Failed to keep copies of consolidated manifesting receipts for three years. <br /> ,This violation was corrected ❑This violation will be corrected by(date): <br /> xSupporting documents included ,� <br /> Describe actions taken or will be taken to correct violation: �Ll_ 111 A71y T' 7 �`�Tr` �1 ji-7 IN A L <br /> Lc AwJo t, ksii cr , }-rTAc -2 on � Z-618 Iy6Atu" 4Z�S'-rr <br /> Page 2 of 3 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />