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SAN JOAOUIN Environmental Health Department <br />COUNTY <br />G s n re <br />Corrective Action Statement <br />RE: September 25, 2020, 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 <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Jason Gaitan at (209) 616-3036 or jgaitan@sjgov.org. <br />Facility name: <br />Facility address: <br />CERS ID: <br />MADRUGA IRON WORKS INC <br />305 GANDY DANCER DR <br />10183137 <br />PR0514135 <br />Violation #102 -Failed to determine if a waste is a hazardous waste. <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEAL TH DEPARTMENT <br />ATTN: Monica De Anda <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />□ This violation was corrected D This violation will be corrected by (date): □Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Violation #110 -Failed to keep signed copy of manifests from the designated facility for three years. <br />Rev. 9/16/2020 <br />□ This violation was corrected <br />□Supporting documents included <br />D This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD