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t <br /> SAN JOAQUIN Environmental Health Department <br /> -- COUNTY <br /> Grealnrts � ro �+ s : , . . <br /> Corrective Action Statement <br /> RE : October 26 , 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 form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Etienne Flondo at ( 209 ) 616 -3050 or eflorido@sjgov . org . <br /> Facility name : S -Mart #91 Submit completed form to : <br /> Facility address : 7506 Pacific Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10421704 ATTN : ELIANNA FLORIDO <br /> PR0539363 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation # 106 - Failed to train employees on waste handling and emergency procedures . <br /> 14 This violation was corrected ❑ This violation will be corrected by (date) : <br /> X Supporting documents included <br /> Describe actions taken or will be taken to cgrrect violation : <br /> t I <br /> Violation # 108 - Failed to complete , sign or date manifest ; or obtain dated signature of transporter . <br /> 14 This violation was corrected ❑ This violation will be corrected by ( date) : <br /> ❑ Supporting documents included <br /> Describe actions jakeni will be taken to correct vi ation : <br /> KLW <br /> Page 2 of 2 <br /> Rev . 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468 -34201 F 209 464-0138 1 www . sjgov . org/ EHO <br />