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S A J Q A Q U I N Environmental Health Department <br /> Greotness grows here <br /> Corrective Action Statement <br /> RE: September 14, 2023, 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-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: IN N OUT BURGER(LATHROP) Submit completed form to: <br /> Facility address: 18240 HARLAN RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10187297 ATTN: VICKY VANG-LEE <br /> PRO539881 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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: Manifests are being scanned and Stored <br /> electronically on a network folder. Missing manfiest from 10/25/23 enclosed with report. <br /> Violation#601 -Stored hazardous waste onsite greater than 180 days(90 days acute/extremely). <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: The waste oil was picked up on 911$123. <br /> Manifest enclosed with report <br /> Violation#605-Failed to completely label containers or portable tanks of hazardous waste. <br /> t( This violation was corrected ❑This violation will be corrected by(date): <br /> Er Supporting documents included <br /> Describe actions taken or will be taken to correct violation: The empty Containers that were missing <br /> labels have been removed. Remaining containers are properly labeled. <br /> Page 2 of 2 <br /> Rev,911612020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />