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Environmental Health Department <br />Corrective Action Statement <br />RE: August 14, 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 Elianna Florido at (209) 468-0343 or eflorido@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />ATTN: ELIANNA FLORIDO <br />1868 E HAZELTON AVENUE <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to: <br />Dollar General #14661 <br />10625803 <br />1940 McHenry Ave <br />PR0540012 <br />Violation #103 - Failed to retain hazardous waste determination including waste analysis on site for 3 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 #104 - No modified contingency plan. <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 #106 - Failed to train employees on waste handling and emergency procedures. <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 1 of 2 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com