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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 />