Laserfiche WebLink
RECEIVED VIA EMAIL ON 03-29-2022 <br /> Q U N Environmental Health Department <br /> C 0 c_.a !,,.j T Y <br /> Corrective Action Statement <br /> RE: March 03, 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. 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 /> Vicky Vang-Leo at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: KWIK SERV LODI BW 113* Submit completed form to: <br /> Facility address: 420 W KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10/81407 ATTN:VICKY YANG-LEE <br /> PR0514378 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#119-Failed to report accurate program data in the California Environmental Reporting System <br /> (CERS). f <br /> 0—This violation was corrected 0-This violation will be corrected by(date): �I ©`7 ___ <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 2 <br /> Rev.911612020 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 F 209 464-0138 1 www,sjgov.org/EHD <br />