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SA N J UA Q U 1 N Environmental Health Department <br /> C OU NTY- <br /> +',itneiS gr0.r5 here. <br /> Corrective Action Statement <br /> RE: October 02, 2019, Hazardous Waste inspection report <br /> For each violation listed below, indicate if the violat on 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 be:ow 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 /> Elianna Flondo at(209)468-0343 or eflorido(a)sigov orq. <br /> ULTA BEAUTY#314, 5410 Pacific Ave, CERS ID: 10655518, PRO540794 <br /> Violation#109-Failed to send generator manifest copies to DTSC within 30 days. <br /> "is violation was corrected ❑This violation will be corrected by(date): <br /> Vsupporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> S o � <br /> I rl CJA.Ad2CA . <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <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. JA I An &1A <hVP inCLCAd% <br /> F I �Y1Cl <br /> tS <br /> c t1 Y `` 4 . + U <br /> Mv <br /> MG.M t S l�rv�C�C�,►Ct YY�!�r,�1�►�rn�.�1Y1 07{ 3( tatio #1111 Fai d to c�dmply wki 3u iform�fiat ous waste manifest a cep�l'on re+rii er mems. v �— <br /> U This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included ((�'� tt <br /> Describe actions taken or will be taken to correct violat.on '` 1 �Q 3�� A,d V\6i Q1 'hj <br /> �m M <br /> avaijaiLa, "A _S <br /> � -�— is <br /> WtYt k-y' vy'ej <br /> Page 3 of 4 <br /> Rev 8127!2019 <br /> 1868 E Hazelton Avenue j Stockton California 95205- T 209 468-3420 1 F 209 464-0138 1 www sjcehd corn <br />