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i <br /> i <br /> i <br /> i <br /> E <br /> Environ ental Health Department <br /> SAN OAQU I N <br /> I <br /> Corrective Action Statement <br /> RE: July 28,.,.2020; Hazardous Waste inspedti n report. <br /> For each violation listed below,:indicate if th9violatian has been corrected or will be cc rected by a certain date. <br /> Also,describe.what was done to'coaect the violation in the space provided below eac violation. Submit this <br /> completed form with the:Return to Compliance Certification within 30 days of inspeotio i. If you have any questions, <br /> please contact El[an na Florida at(209)46&Q343 or eflcid doCa sjgov,org,. <br /> Facility name: SPROUTS.FARMERS M6KET#431 Submit cory Pleted.form%to: <br /> Facility address: 250 E HARNEY LN ? SJG ENV.I NMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10778590 ATTN-.ELIANNA FLORIDO <br /> PR0544350 1868 E HAZELTON AVENUE <br /> STOCKTOIIj CA 95205 <br /> Violation 9119-Failed to keep.signed copy of manifests from the designated facili for three..years.. <br /> This violation was corrected ®"This violation will be corrected y(date): _ 5D r <br /> 63 Supporting documents included ' <br /> Describe actions taken or will be taken tO correct violation: t pieL� U <br /> S <br /> 3 <br /> E <br /> Violation#111 Failed to comply with uniform hazardous waste manifest exceptio requirements. <br /> l�This violation'was corrected moi.This violation will be corrected 6y.(date): JV _ <br /> E Supporting documents included s <br /> 3 <br /> Describe actions.taken orwili be taken tg correct violation: <br /> s <br /> 3 <br /> E <br /> 3 <br /> S <br /> E <br /> 3 <br /> 1 <br /> E <br /> 3 <br /> 3 <br /> Page'Z of 2' <br /> Rev:M71209 <br /> i <br /> 1868 E. Hazelton Avenue. Stockton,California 952051 T 209 468-3420 F 09 464-0138 j www,§cehd.com <br /> i <br />