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S A N J O A Q O N Environmental Health Department <br /> Corrective Action Statement <br /> RE May 10'. 2021, 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. <br /> Also,describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> 1 1__4 Elia.,. _Fl 'a t X'20 11.6 A.0 `0 G o� /Q_sj <br /> �JI�i 6.713:VVII{pl.�L'If G�-1rIP 1�/riV SPI tiGVJ)U IU-J UJV V( �il�J l�dii�W,.9f9V Y.iJI'g, <br /> Facility name: ARCO AM/PM Submit completed form to: <br /> Facility address: 3443 CHEROKEE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10830655 ATTN: ELIANNA FLORIDO <br /> PR0545108 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> 'Vioiation#i02 -Faiiea to determine ii a waste is a hazardous waste. <br /> This violation was corrected 0 This violation will be corrected by(date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violati n: <br /> -t 1 06:6_ <br /> Violation#1104-No modified contingency plan. <br /> This violation was corrected ©This violation will be corrected by(date): <br /> C-1 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#105-No emergency coordinator available for emergency response. <br /> This violation was corrected 0 This violation will be corrected by(date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 3 <br /> Rev.V1612020 <br /> 1868 E. Hazelton Avenue j Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgay.org1EHD <br />