Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE: December 27,2019, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please I <br /> contact Claudia Muro at(209)468-3429 or cmuro@sjgov.org. <br /> i <br /> Facility name: JACOBS MALCOLM&BURTT Submit completed form to: <br /> Facility address: 645 N STOCKTON ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183563 ATTN:CLAUDIA MURO <br /> PRO540586 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 This violation will be corrected by(date): 1, o20a0 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Wa rKiyj on SO-6jol'.N q5,--kW c* o;I ciAj <br /> wall r+naV-t Svc t4eev 04 aece.0+ A1VVIX by co Y 470.100 1c ,••�, used o.) <br /> Violation#113-Failed to keep copies of consolidated manifesting receipts for three years. f <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: SMyl_ v+%}k VV1Fll2 ntCNQN� t v�n�wrii ec <br /> A Lk Pk lAr I QCAti-"ex Of-175 Vve d Irnn�i M5 d� t�a7�r�d�1S �R 1USf� �aU.!✓� � <br /> YGCGiP}� rv�.4ni�t+ At..lE;n �o J3_ <br /> Violation#601-Stored hazardous waste onsite greater than 180 days. <br /> ❑ This violation was corrected This violation will be corrected by(date): <br /> ❑ Supporting documents included 1 <br /> Describe actions taken or will be taken to correct violation: a�e 0.cc,'wtu la t W�1� <br /> X <br /> t� t shPYl t00 LCn o4 y-ra,s4G Lt re eta e--Ae- <br /> Page 2 of 3 <br /> Rev 8/27/2019 <br /> e 1868 E.Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />