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M � I � Environmental Health Department <br /> u <br /> '- -COUNTY— <br /> Greatness <br /> COUNT <br /> Greatness grows here, <br /> Corrective Action Statement <br /> RE: October 27, 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. Also, <br /> describe what was done to correct the violation in the space provided below 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 /> Haza Saeed at(209)953-6212 or hsaeed@sjgov.org. <br /> Facility name: TAYLOR FARMS PACIFIC INC Submit completed form to: <br /> Facility address: 1820 N MACARTHUR DR STE 500 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183599 ATTN: HAZA SAEED <br /> PR0535646 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <br /> X 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: The hazardous waste contractor has provided <br /> suitable containers and will begin collecting the waste regularly. <br /> Violation#104-No modified contingency plan. <br /> X 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: The necessary Information has been posted <br /> in the hazardous waste areas. <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> X 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: The manifests have been located. <br /> Page 2 of 4 <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 /> Doc ID: 81f1fe1ce1d4d8f1c9cOeeOc4dcec4b14e91a79c <br />