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�� � (� Environmental Health Department <br />Corrective Action Statement <br />RE; September 20, 2023, Hazardous Waste inspection report <br />For each violation listed below, indicate if llie violation leas been corrected or will be corrected by a certain date. Also, <br />describe what was done to correct the violation in ll�e space provided below each violation. 5ubmil this completed (orm <br />with the Relum to �on�plianCe Cerii�cation within 30 days of inspection. If you have any questions, please contact <br />Michael 5uszycki at (209) 598-7001 or msuszycki@sjgov.org. <br />Facility name; <br />Facility address <br />CERS ID: <br />MIRACLE MILE MARKET <br />244 W HARDING WAY <br />10180779 <br />PR0518369 <br />Submit completed (orm to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: MICHAEL SUSZYCKI <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation/#104 - No modified contingency plan. <br />`, p' This violat7on �s corrected ❑This violation will be corrected by (date): <br />❑ Supporhn9 documents included <br />Describe actions taken of Will<be taken i-o�}c�orrect viol/ation: -F. <br />Violation #106 -Failed to train employees on waste handling and emergency procedures. <br />[r7 --This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />4� <br />S <br />Violation #117 -Failed to submit a written response within 30 days of receiving an inspection report. <br />Rev.Bl162020 <br />p/ This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 4 <br />