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tSAN JOAQUIN Environmental Health Department <br />Corrective Action Statement <br />RE: October 22, 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. Also, <br />describe what was done to correct the violation in the space provided below each violation. Submit this completed <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Jason Gaitan at (209) 616-3036 or jgaitan@sjgov.org. <br />Facility name: BERRY GLOBAL INC Submit completed form to: <br />Facility address: 601 Nestle Way SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10184401 ATTN: JASON GAITAN <br />PR0527272 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Viola�tio/n/#114 -Failed to keep signed copy of manifests from the designated facility for three years. <br />12 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: � i7 "•V i U �`�} /,� �F(� � �'�-� <br />t�y € �i (t1vE 4 }� �( <br />Violation #710 - UWH failed to kee compli records of each shipment of universal waste for three years. <br />0 -This violation was corrected El This violation will be corrected by (date): <br />E / Supporting documents included <br />actiotnt`s�� taken coj[- will <br />(�be taken tocorrect violation,Mv i �!se <br />r <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />1868 E Hazelton Avenue i Stockton, California 95205 i T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />