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SAN J OA H I N Environmental Health Department <br /> - ,_ PSI T Y <br /> Corrective Action Statement <br /> RE: January 31, 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. 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 /> Jason Gaitan at(209)465-9848 or jgaitan(a7sigov.org. <br /> Facility name: TRACY USD-MERRILL WEST HIGH SCHOOL Submit completed form to: <br /> Facility address: 1775 W LOWELL AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184151 ATTN:JASON GAITAN <br /> PR0518789 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> -❑ This violation was corrected El This violation will be corrected by(date): <br /> �O Supporting documents included <br /> Describe actions taken or will be taken to correct violation: All original manifests are kept in a binder <br /> located in the copier room by the principals secretary office. They were onsite at the time <br /> of this inspection but the maintenance employee did not know where they were stored. <br /> Manifest copies attached. <br /> Violation#704-UW handler failed to properly manage universal waste lamps. <br /> 4 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: The universal waste lamps have been <br /> placed in proper storage boxes that prevent breakage and release to the environment and <br /> have been properly labeled. <br /> Violation#712-UW handler(UWH)failed to label universal waste to identify type of universal waste. <br /> -0 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: The universal waste lamps have been <br /> placed in proper storage boxes that prevent breakage and release to the environment <br /> and have been properly labeled. <br /> Page 2 of 3 <br /> Rev.812112019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www,sjcehd.com <br />