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SAN �IOAQUI N Environmental Health Department <br /> COUNTY -_ RECEIVED <br /> Greatness grows here . <br /> Corrective Action Statement JUL 2 9 zozo <br /> RE : July 22 , 2020 , Hazardous Waste inspection rep MARONMENTAL HEAL;Tfi <br /> For each violation listed below , indicate if the violation has been corrected or will be corrected by a cerQE (yT <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Garrett Backus at (209 ) 468-2986 or gbackus@sjgov. org . <br /> Facility name : Ross Island Sand & Gravel Co . Submit completed form to : <br /> Facility address : 1003 Humphreys St SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10718848 ATTN : GARRETT BACKUS <br /> PR0541518 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #104 - No modified contingency plan . <br /> /11` . <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> J Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Violaton #110 - Failed to keep signed copy of manifests from the designated facility for three years . <br /> 0//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&:�24 �C U ] sZ- � <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 /> ,CJ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2 of 2 <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 />