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SAN JOHN Environmental Health Department <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 /> Haza Saeed at(209)953-6212 or hsaeedpsigov.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. 1 <br /> This violation was corrected ❑This violation will be corrected by(date): 2 20 Z I <br /> / - Supporting documents included \ r <br /> Describe actions taken or will be taken to correct violation: }�G t��w► I1x cX J c` t C P�C��k-w <br /> UIC4� <br /> Violation#105-No emergency coordinator available for emergency response. <br /> AThis violation was corrected ❑This violation will be corrected by(date): .L 20 z <br /> ❑ Supporting documents included 030'r <br /> }} rI <br /> Describe actions taken or will be taken to correct violation: 030Prwi.s 04- r4wbta <br /> S 06, + -J <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): Z <br /> -0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> w� 1 <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 />