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SAN 10AQUIN Environmental Health Department <br /> _ <br /> TY <br /> Corrective Action Statement <br /> RE: November 24, 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 /> Haze Saeed at(209)953-6212 or hsaeed(a)sjgov.orq. <br /> Facility name: CROWNE COLD STORAGE Submit completed form to: <br /> Facility address: 2323 PORT RD G SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10501000 ATTN: HAZA SAEED <br /> PRO540848 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#101 -Managed a hazardous waste without an identification number. <br /> ❑ This violation was corrected 10 This violation will be corrected by(date): .2 S- L02, I _ <br /> tB Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Re-0x f')J".1 w <br /> iho.3 -6-eerti 0,�2ghe,4 -to ( 12-a- Zozo l /ter. �Or' re�lso Q�c� <br /> Violation#106-No emergency coordinator available for emergency response. <br /> ❑ This violation was corrected 1'This violation will be corrected by(date): 2 / <br /> 12o 2, <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: v7 � <br /> t 9&e . CS; <br /> Violation#606-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: \ 1&es CC47 <br /> ✓ / <br /> Uw <br /> 7UlM6� LCil - <br /> L1.S e n1 <br /> Page 2 of 2 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />