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�l ►I��aAl I I N Environmental Health Department <br /> L-'r.`' j C:O U N T Y <br /> r o- Greotness grows here. <br /> Corrective Action Statement <br /> RE: May 18, 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 Elianna Florido at(209)468-0343 or efloridop_sigov.orq. <br /> DICKS SPORTING GOODS #1176, 5354 PACIFIC AVE, CERS ID: 10835602, PR0540860 <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <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 /> Violation#119-Failed to report program data in the California Environmental Reporting System (CERS). <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 /> Page 3 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 />