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c LM <br /> nN Environmental Health Department <br /> 1= <br /> UAtf'y�' COUNT Y <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE: August 17, 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 <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: CENTRAL VALLEY WASTE SERVICES Submit completed form to <br /> Facility address: 1333 E TURNER RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181903 ATTN LYDIA BAKER <br /> PRO522742 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#114-Failed to keep signed copy of manifests from the designated facility for three years. <br /> 13 This violation was corrected ❑This violation will be corrected by(date): August 24, 2021 <br /> ® Supporting documents included <br /> Describe actions taken or will be taken to correct violation <br /> CVWS has contacted the Designated Facilities and cibtained signed copies of the above <br /> mentioned i1HWM on August 24, 2021 <br /> Violation#119-Consolidated manifest receipts failed to contain complete information. <br /> 13 This violation was corrected O This violation will be corrected by(date): August 23, 2021 <br /> C& Supporting documents included <br /> Describe actions taken or will be taken to correct violation <br /> CVWS contacted the vendor and obtained a copy of the Bill of Lading with the consolidated <br /> manifest number c:n August 23, 2021 <br /> Violation#123-Failure to annually submit notification of generator intent to remotely consolidate hazardous <br /> waste. <br /> EY This violation was corrected ❑This violation will be corrected by(date): September 08, 2021 <br /> IJ Supporting documents included <br /> Describe actions taken or will be taken to correct violation <br /> CVWS completed Remote Waste Consolidation Site Annual Notification on CERS in accordance <br /> with the discussion with Ms. Baker <br /> Page 2 of 4 <br /> Rev.9/162020 <br /> 1868 E Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s19ov.org/EHD <br />