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SAN J O AQ I N Environmental Health Department <br /> C. 7�a N -1 Y <br /> Corrective Action Statement <br /> RE: July 12, 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 Gabriela Garcia-Mejia at(209)616-3037 or ggarcia-mejia@sjgov.org. <br /> Facility name: DA Archer Excavating Submit completed form to: <br /> Facility address: 1819 S ARGONAUT ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10786141 ATTN: GABRIELA GARCIA-MEJIA <br /> PR0513694 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#104-No modified contingency plan. <br /> li 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: <br /> rn C LJLn4 �r7'uz ' It <br /> Violation#113-Failed to keep copies of consolidated manifesting receipts for three years. <br /> � 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: <br /> Violation#301 -Facility not maintained to minimize the release of a hazardous waste. <br /> 94 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: <br /> �D c,�L`�� •�v�'z,e�r=�-�� �'vr �c�r v,�r� f��t�,� b� �=h��;C�:_ <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 />