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c ',Y Environmental Health Department <br /> SA NUJ OAQ U I N <br /> COUNTY <br /> Grectness grows here. <br /> Corrective Action Statement <br /> RE: September 09, 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 Lydia Baker at(209)468-8257 or(baker@sigov.orq. <br /> Facility name: Kruger Foods, Inc. Submit completed form to: <br /> Facility address: 18362 E HWY 4 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10422613 ATTN: LYDIA BAKER <br /> PRO544028 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#114-Consolidated manifest receipts failed to contain complete information. <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#301 -Facility not maintained to minimize the release of a hazardous waste. <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#605-Failed to completely label containers or portable tanks of hazardous waste. <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 2 of 2 <br /> Rev.@/22/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />