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SAN 10 A Q u I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: August 13, 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 efloddo@sjgov.org. <br /> Facility name: Hobby Lobby#768 Submit completed form to: <br /> Facility address: 2350 W Kettleman Ln SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10737406 ATTN: ELIANNA FLORIDO <br /> PRO542556 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <br /> iY This violation was corrected 0 This violation will be corrected by(date): <br /> C5 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> This violation was corrected. My email giving instructions to the store was fumished to Ms. Florido and is attached <br /> to this response. <br /> Violation#104-No modified contingency plan. <br /> CT This violation was corrected 0 This violation will be corrected by(date): <br /> KSupporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> This violation was corrected and verfied by Ms. Florido's email on 09/14/2020 (attached). <br /> Page 2 of 2 <br /> Rev.8127/2019 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />