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Environmental Health Department <br /> SAW]OAQUIN <br /> E )' IN ..r..y <br /> Corrective Action Statement <br /> RE: February 25, 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 or jalaniz1 @sjgov.org. <br /> Facility name: LPS WATER CO Submit completed form to: <br /> Facility address: 14900 W HWY 12 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182159 ATTN: JOHN ALANIZ <br /> 1868 E HAZELTON AVENUE <br /> PR0541221 STOCKTON, CA 95205 <br /> Violation#101 -Managed a hazardous waste without an identification number. <br /> V( 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 /> uT'-T-)Pt-f �� �� 1b ��o �� SEE -TTF%GHEb <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): 4-as- A03\0 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Lf S L-3 A-1 F-Q 15 �-Z fl 1-T 1 N G <br /> F T ►-1 E P1 M c L E D T L,3 i-T (Z-, 6—S1 A P%� <br /> Violation#104-No modified contingency plan. <br /> ti <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 2 of 4 <br /> Rev.6/27/2019 <br /> 1868 E. Hazelton Avenue i Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />