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SAN AQN Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE : January 26 , 2022 , 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 Kristina Saetern at (209) 616-3045 or ksaetern@sjgov . org . <br /> Facility name : KUIL , DALE Submit completed form to : <br /> Facility address : 22844 S FREDERICK RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10186549 ATTN : KRISTINA SAETERN <br /> PR0530173 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #406 = Empty hazardous waste or material container greater than 5 gallons not managed per this <br /> section <br /> H is violation was corrected ElY (This violation will be corrected b date) : <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation : N ® �� `� I '" S 1 �� r1 <br /> � t FLriJ (AQAot 4 .11 S , eep Ser: qz-) (:j 1b tj (s 1377;71 Pr, esco <br /> c3 � e �1� 2vrs t„* /Ze 1� S' p � jP � JL <br /> { 6ti2 A U ti pi is 6( � � - � � E . inti ( L ✓ /L C0 rivL tA t44 © a ec( <br /> e_ I e <br /> Page 2 of 2 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue ( Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov . org/EHD <br />