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S Q N J O A Q U I N Environmental Health Department <br /> r�] T y <br /> Corrective Action Statement <br /> RE: October 02, 2019, 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 fol <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Elianna Florido at (209) 468-0343 or eflorido(o)_sigov.org. <br /> Facility name: ULTA BEAUTY#314 Submit completed form to: <br /> Facility address: 5410 Pacific Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10655518 ATTN: ELIANNA FLORIDO <br /> PRO540794 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #104 - No modified contingency plan. <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: <br /> Violation #105 - No emergency coordinator. <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: <br /> Violation #106 - Failed to train employees on waste handling and emergency procedures. <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: <br /> Page 2 of 4 <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 />