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` SAN J O A Q U I N Environmental Health Department <br />C O G NIT Y <br />hef— <br />Corrective Action Statement <br />RE: February 07, 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. Also, <br />describe what was done to correct the violation in the space provided below <br />each violation. Submit this completed form <br />with the Return to Compliance Certification within 30 days of inspection. <br />If you have any questions, please contact <br />Jason Gaitan at (209) 468-9848 or igaitanosjgov.org. <br />Facility name: SUN VALLEY SMOKED MEATS <br />Submit completed form to: <br />Facility address: 2475 W YOSEMITE AVE <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10184509 <br />ATTN: JASON GAITAN <br />PR0545295 <br />1868 E HAZELTON AVENUE <br />STOCKTON. CA 95205 <br />Violation #102 - Failed to determine if a waste is a hazardous waste. <br />0 This violation was corrected ❑ This violation will be corrected by (date): <br />f� Supporting documents included <br />Describe actions taken or will be taken to correct violation: <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): _ <br />)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 />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 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />