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A ��1 a �I I I Environmental Health Department <br /> H <br /> ti YY 1 U I <br /> L_01 COUNTY <br /> ` Greotness grows here. <br /> Corrective Action Statement <br /> RE: August 10, 2020, 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(@sigov.orq. <br /> Facility name: OfficeMax#6298 Submit completed form to: <br /> Facility address: 4733 QUAIL LAKES DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10707109 ATTN: ELIANNA FLORIDO <br /> PR0541320 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <br /> ❑ This violation was corrected ❑This violation will be corrected by(date): <br /> V Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> We dispute that the inspector's observations are in fact violations, as <br /> discussed in the attached statement. <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> E This violation was corrected ❑This violation will be corrected by(date): <br /> V Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> The missing manifests. 013123980FLE (11/11/2019) & 010788843FLE (12/07/2017) <br /> have been downloaded and sent to the store, where they have been printed and placed <br /> in the store's HW ("Stericycle") binder. Copies are attached. <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br /> V This violation was corrected ❑This violation will be corrected by(date): <br /> E� Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> The missing manifests have been downloaded and sent to the store where they printed them <br /> and placed them in the store's HW binder. <br /> Page 2 of 3 <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 />