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if�� %I Environmental Health Department <br /> ; . SAN JOAQUIN <br /> COUNTY - <br /> ot' c,aoO Greotness grows her . <br /> Corrective Action Statement <br /> RE : February 16 , 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 Lydia Baker at (209) 616-3046 or (baker@sjgov.org . <br /> Facility name : SHOP N GO 3 Submit completed form to : <br /> Facility address : 4511 PACIFIC AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10180943 ATTN : LYDIA BAKER <br /> PR0518326 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #104 - No modified contingency plan . <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken tOA <br /> orrect violation : <br /> n 1 ' <br /> 2 2_ <br /> Violation #117 - Failed to submit a written response within 30 days of receiving an inspection report. <br /> )� 4 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 : Olvn q, n l m CoeTd <br /> of � �JS 0 S rn -er <br /> RECEIVED <br /> MAR 0 2022 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Page 2 of 2 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 I F 209 464 -0138 1 www. sjgov .org/EHD <br />