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about <br /> S A N .J O Q Q U I N Environmental Health Department <br /> Grrc+ ; ^ ess �rrov: c hrrr, <br /> Corrective Acton Statement <br /> cif=: July 31 , 2020, Hazardous Waste inspeotlon report <br /> For each v;glation listed below, indicate if the violation has been corrected or will be corrected by a certain date, Also, <br /> describe what was done to correct the violation in the spaw provided below aach violation. Submit this completed form <br /> With the Return to Compliance Certification vAthin 30 bays of Inspection, If you have any questions, please contact <br /> Elisnna Flo6do at (209) 46840343 or efloridoasipov.orp. <br /> Facility name; Homegoode 0344 Submit completed form to: <br /> Facility address: 5416 Pacific Ave S,JC ENVIRONMENTAL HEALTH DEPARTMENT <br /> GE RS ID; 40486180 ATPN : EUANNA FLORIDO <br /> PRO539291 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #104 % No modified Contingency plan, <br /> © Thls violation was corrected ❑ This violation will be corrected by (date); <br /> I T1 <br /> a supporting documents included <br /> Describe actiotts taken or Will bce. taken to correct violation: <br /> ua <br /> dV_1 � {lt ., rt �u�n �ryor. fi1(UM ZLOAnpo_S _4�} t+�t t]1�Ur <br /> _Q�,pl r v\ h+ nd�►f <br /> Violation 0105 . No emergency coordinator, <br /> Thts Violation was corroeted 0 This violation will be corrected by (date): <br /> Q Supporting documents included <br /> Describe actions taken or will be Laken to correct vlolaifon: <br /> t <br /> Violation 9106 - Fatled to train employees on waste handling and emergency procedures, <br /> Thi8 violation was corrected b This violation will be corrected by (date)* <br /> ❑ Supporting documents Included <br /> Describe actions taken or will be taken to correct violation; <br /> TJ <br /> ANn <br /> Page 2 of 3 <br /> Rav, =12019 <br /> 1868 E. Hazelton Avenue Stockton, California 952051 T 209 46834201 F 209 464.01.38 ) www.sjoshd,00m <br /> I <br /> S <br /> 2 of 3 8/5/2020 2 :2 <br />