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SANJOA UIN Environmental Health Department <br />Q <br />`Y COUNTY <br />GreOtnes3 grows here. <br />Corrective Action Statement <br />RE: September 27, 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 />Michael Suszycki at (209) 598-7001 or msuszycki@sjgov.org. <br />MANTECA DENTAL CARE, 1007 S MAIN ST, CERS ID: 10864561, PRO546502 <br />Violation #715 - Universal Waste Handler failed to keep three years records of each shipment of universal <br />waste. <br />Rev. 9/10/2020 <br />)k This violation was corrected <br />O Supporting documents included <br />O This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 4 of 4 <br />V1 %l a huvAcY 'h VFW <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 />