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SAN JOAOUIN Environmental ealth Department <br /> "UN T'°.j <br /> Corrective Action Stateme it <br /> RE: octobe 21, 2020, Hazardous Waste inspe tion report <br /> For each violation I sted below, indicate if t is,violation has been corrected or will be corrected by a certain date. Also, <br /> describe what was done to correct the viola ion in the space provided below each violation. Submit t is completed <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or resto@sjgov.org. <br /> Facility name: SHORT STOP FOOD RT Submit co pleted form to. <br /> Facility address: 20 W TURNER RD#A: SJC ENVIRONMENTAL WEALTH DEPARTMENT <br /> CERS ID: 10180633 ATTN: CAROL PRESTO <br /> PR0518595 1868 E H ELTON AVENUE <br /> STOCKTO , CA 95205 <br /> Violation#101 -Managed a hazardous waste without an identification number. <br /> ZThis violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents include [ f <br /> Describe acti ns taken or will be take to correct violation: <br /> N <br /> Violation#110-Failed to keep signed c y of manifests from the designated faci ity for three years. <br /> 0 This viol tion was corrected ❑This violation wi II be corrected by(date): <br /> 0 Supporting documents includeqj <br /> Describe actions taken or will be take.r to correct violation: <br /> Violation#601 -Stored hazardous waste Dnsite greater than 180 days. <br /> ❑ This violation was corrected ©This violation w 11 be corrected by(date): <br /> ® Supporting documents include <br /> Describe actions taken or will be takE r to correct violation: <br /> i <br /> i <br /> Page 2 of <br /> Rm 911 612 0 2 0 <br /> 1868 1-. Hazelton Avenue 1 Stockto,i, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />