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SAAQN Environmental Health Department <br /> Corrective Action Statement <br /> RE : December 16 , 2019 , 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. f <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 or jalanizl @sjgov.org . <br /> Facility name: THE RESERVE AT SPANOS PARK Submit completed form to: <br /> Facility address : 6301 W EIGHT MILE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10594084 ATTN : JOHN ALANIZ <br /> PR0522606 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 : Y � > a z _ � � -'O' , , <br /> t r i A kM V GTA k S k -9 lua f , f <br /> tee. , � 4� ..� 5 '� t�'+V1 . G�1 A <br /> 6a1a �P4/`J p_��� � <br /> .e�`L�e � ryF� t�e�♦,.�,g�q�� , C� f�./,�C' t�j� � �y µ f11�1 l � �f � <br /> ` `RA , ,.�d <br /> Violation #110 - Failed to keep signed copy of manifests from the designated facility for three years. <br /> 13 This violation was corrected [3 This violation will be corrected by (date): <br /> 1A Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <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 /> It Supporting documents included <br /> `Describe actions taken or will be taken to correct violation : <br /> Page 2 of 4 <br /> Rev. 8/27/2019 <br /> 1868 E , Hazelton Avenue i Stockton , California 952051 T 209 468-34201 F 209 464-0138 1 www,sjcehd .com <br />