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Y s ' 11 ����IIIN Environmental Health Department <br /> 4 �1 U <br /> 'C.'-� COUNTY <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE: September 10, 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. <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 Lydia Baker at(209)468-8257 or Ibaker(a_sigov.orq. <br /> Facility name: Stockton SSYAP, LLC Submit completed form to: <br /> Facility address: 3175 S HWY 99 FRONTAGE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10742383 ATTN: LYDIA BAKER <br /> PR0514163 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#103-Failed to retain hazardous waste determination including waste analysis on site for 3 years. <br /> El 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: Waste Profile for the Solid, Oily Debris was requested <br /> from the Waste Remediation Company.Waste Profiles will be maintained on-site for 3 years.Waste Profile is attached as <br /> APPENDIX 1. <br /> Violation#114-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 /> El Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Signed off manifest 016608958JJK was requested from <br /> the waste disposal site, US Ecology.The signed off manifest is attached as APPENDIX 2 and will be kept on-site for a <br /> minimum of 3 years. <br /> Violation#115-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: Signed off manifest 016608958JJK was requested from <br /> the waste disposal site, US Ecology.The signed off manifest is attached as APPENDIX 2 and will be kept on-site for a <br /> minimum of 3 years. <br /> Page 2 of 4 <br /> Rev.8/22/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />