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Environmental Health Department <br /> SAN OAQU{N <br /> i <br /> _.w._..C(:)U N T Y----- <br /> %^C.� rr;.> Gr£Otncis grows here. <br /> Corrective Action Statement <br /> RE: June 07, 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 /> please contact Lydia Baker at(209)616-3046 or[baker@sjgov.org. <br /> Facility name: A&A GAS&FOOD MART Submit completed form to: <br /> Facility address: 16 E HARDING WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181239 ATTN:LYDIA BAKER <br /> 1868 E HAZELTON AVENUE <br /> PR0518181 STOCKTON,CA 95205 <br /> Violation#104-No modified contingency plan. <br /> ElThis 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 /> C0 rJ I 6 <br /> Violation#117-Failed to submit a written response within 30 days of receiving an inspection report. <br /> his 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 /> Vy\kv LA.Jn � � hn a C S�1 lam' <br /> Violation#606 <br /> #606-Failed to completely label containers or portable tanks of hazardous waste. <br /> D 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 /> 1�`Pn.JLAY Cto n I nth S <br /> k dY\ <br /> J <br /> °0 <br /> o <br /> 0°5 05 <br /> Q G°y Page 2 of 2 <br /> � �L � OG Rev 9/16/2020 <br /> 1868 E.Hazelton Avenue Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 �M,,. <br /> -.1 I 's.- <br /> icnv.org1EHD <br /> c <br /> jft <br /> 0 <br />