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SAN J O AQ U' N Environmental Health Department <br /> COUN" Y <br /> Corrective Action Statement <br /> RE: August 25, 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 Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: CITY RISE INC Submit completed form to: <br /> Facility address: 686 E LOCKEFORD AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182077 ATTN:VICKY VANG-LEE <br /> PR0528798 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#601 -Stored hazardous waste onsite greater than 180 days(90 days acute/extremely). <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 /> VAI Ir10,5 b�Yl V-etMov4E!_6 a5 0 ll� q 113 2 l <br /> -�y''CVY PJ (`�\\eG�-ir��n �� b�ev�In�' \cl ©sem • <br /> Page 2 of 2 <br /> Rev.9/16/2020 <br /> 1868 E.Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />