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SANAROUIN <br />COUNTV— <br />',vetiet-i 9.rows here. <br />Environmental <br />COFTective Action Statement <br />E MarGh 115, 2021, Hazardous Waste inspection report <br />Health <br />D apa rtme rpt <br />For each violation 1i t fcw, irtidi a if the violation has been Garrected of wiR b:e corrected by a certain, date, <br />AISO. descrit�p what was done to mrr the violation In the sp2 W provided t law -each vliol n. Sub�rnl?;!Mis <br />MmPleted form with the Retum to Compliance Carfificatfon within 30 days of inspection. ltyouhavgany�uwfixis, <br />pI,3ase WraLout Qlawdie Mures at (209) 561-5923 or cmLArogsjgov_or-G. <br />Facility name- MICKE GROVE GQLF LINK <br />Facility address; 11401 N MICKE GROVE RD <br />EIS ILS; 1 DIS3249 <br />PRO51419U <br />5-ubmit completed form to; <br />JC ENVIRC N PJENTAL H E L M DEPARTMejT <br />AM, CLAUDIA MURO <br />180 E HAZELTON AVENL <br />cKTON, cA 9,5205 <br />V[01-atton #1ti1 - Managed a hazardous wa&te Yvithout an Iderdifleathm rwrnber. <br />s This YjaUtion was cvrrected p This violattiion wi#I be coareet (daft): <br />Supporting documents include! <br />Cescribe actions taken i-,rr wifl be taken to cormctvfcla ion: -ma.., Aff1i Arm 0. <br />Violation #11-9 - Failed to rep8rt program data in the Cal Ffornia Environmental Repeating System CC ERS). <br />This violation was ccrr-Octad This violation will be cormoled by (daft): <br />Su rtin g d u mo nt,5 inclucled <br />Describe actions taken ar will be token to correct violatlon: � -+O � <br />ViOlatiOn #61)1 -Mored ha"r ous waate onsite greeter than 180 daYs (90 days acute f ex me ). <br />Rev_ 911 rn4a <br />0 This violation was corrected 171 This vioration will to mr1ractod by jdato)t <br />El Supporting documents included <br />E4mcribe aeons taken or will be taken t -D correct vjofa = <br />Page 2of3 <br />1 U68 E_ Hazelton AvenLia I Stonktcn_ California 95205 1 T 2-09 418-342 s F 2-G9 4E-�-o1�3B I Www,s gov.argiEHD <br />.vr��KK I, <br />Z-1 <br />