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IN Environmental Health Department <br /> J <br /> I°I 0AC) iIN <br /> Corrective Action Statement <br /> RE: August 05, 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: BURWOOD CEMETERY Submit completed form to: <br /> Facility address: 28320 E RIVER RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182605 ATTN: KRISTINA SAETERN <br /> PRO513777 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#301 -Facility not maintained to minimize the release of a hazardous waste. <br /> V 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: /�( (L �t wit -t7- e pe?64--�. Mar, , <br /> kw-rbeal- azvds 92(aWJ L) QcJV64-414nta JaQQ w%i,ch L-ia-n J44r-L- g2ta '4 In a ,GVe.. la�J <br /> b&,&e d ' kms IaLrI baZurdc0s "010k - ,�5eeil SAS 11 k1 -s " C2N <br /> fem Fz -caall�2 <br /> Y�xkG t ark p v cm 1n erhpt� s6,92alo-o drvtn ,PPI'-e j-L?j t heM, <br /> Violation#303-Failed to maintain all communication or alarm systems,spill control,or decontamination <br /> equipment. <br /> Cd/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 /> aa_llon 6r ke,f rnkPT-t s o"I/ k -� -5 --f tJt- fly <br /> Violation#402-Failed to store hazardous waste in a compatible container. <br /> liff" 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: �F •�`1 fir' U9CAO Qhco_GL i t/-j <br /> rj <br /> ��1 t��k�t w��h s��,nl�brc lrif Id led "kY L � - <br /> j: -�--iTerr bn �1�[�a� HrT�riC�tn (two.,-, aii k cd /YMix� f 4A ggcecl <br /> h-)C 4:d Grd, o<<;vIi / 6- 55' (Z I/On ALM S.Qlreel b-i <br /> /teIn . <br /> Page 2 of 3 <br /> Rev.9/1612020 <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 />