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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Greotness grows hero . <br /> Corrective Action Statement <br /> RE : September 05 , 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 ( baker@sjgov. org . <br /> Facility name : CHRISP COMPANY Submit completed form to : <br /> Facility address : 1001 STOKES AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10186775 ATTN : LYDIA BAKER <br /> PR0527027 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #101 - Managed a hazardous waste without an identification number. <br /> M 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 : A copy of Form 8700 and Form 1358 have <br /> been submitted to the California Department of Toxic Substances Control for review . <br /> A copy of each is attached to this document . <br /> Violation #110 - Failed to keep signed copy of manifests from the designated facility for three years . <br /> M 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 : a copy of the Disignated Facility copy for <br /> manifest 005728652SKS is attached . The Designated Facility copy for manifests : 009772753FLE ; <br /> 006686957SKS ; and 066391348SKS were not found . Safety- Kleen is still in the process of discovery for these <br /> three (3 ) manifests . A copy of the Manifest Exception Report ( Item 111 ) is attached to this document . <br /> Violation #111 - Failed to comply with uniform hazardous waste manifest exception requirements . <br /> M 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 : A copy of the Hazardous Waste Management <br /> Program - Manifest Exception Report has been submitted to the California Department of Toxice Substances <br /> Control . A copy of the Manifest Exception Report is attached to this document . <br /> Page 2 of 5 <br /> Rev. 8/22/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 96205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />