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c A NJ 0 p n t I N Environmental Health Department <br /> (> t -FY <br /> Corrective Action Statement <br /> t <br /> RE : November 21 , 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 V1 <br /> ) <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 questiops pleaseVQ SAcontact <br /> Elianna Florido at (209) 468-0343 or efiorido(u jgov.org . TH <br /> " 1 N A' j " NkIAL fIEA <br /> Facility name : FALLING PRICES INC Submit completed form to. <br /> Facility address : 1005 E PESCADERO AVE STE 127 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : none ATTN : ELIANNA FLORIDO <br /> PR0544999 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #101 - Managed a hazardous waste without an identification number. ' f <br /> ❑ This violation was corrected This violation will be corrected by (date) : �� <br /> h!J Supporting documents included <br /> Describe actions taken or will be taken to correct violation : 1 <br /> . 0 ti a. to FPa i D <br /> Violation #102 - Failed to determine If a waste is a hazardous waste. Ll <br /> dThis violation was corrected ❑ This violation will be corrected by (date) : � � <br /> 11 Supporting documents included <br /> Describe actions taken or will be taken to correct violation : 01 <br /> M ,& eyna (0C 'J <br /> Violation #104 - No modified contingency plan. 0 <br /> 13This violation was corrected to This violation will be corrected by (date) : J C9 \ / <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2 of 3 <br /> Rev, 8127!2019 <br /> 1868 E . Hazelton Avenue j Stockton , California 952051 T 209 468 -3420 1 F 209 464 -0138 1 wmv ,sicehd .com <br />