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SANJOAQUIN <br /> Environmental Health Department <br /> => <br /> --COUNTY <br /> Greotness groves here. <br /> Corrective Action Statement <br /> RE: January 23, 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. <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 Lydia Baker at(209)468-8257 or(baker@sjgov.org. <br /> Facility name: G&L BROCK CONSTRUCTION CO INC Submit completed form to: <br /> Facility address: 4145 CALLOWAY CIR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184005 ATTN: LYDIA BAKER <br /> PR0514480 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility 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: <br /> _ M PCWRZ1f AT N- 6�n <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <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: <br /> VAwl <br /> Violation 9301 -Facility not maintained to minimize the release of a hazardous waste. <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: <br /> 'mis wh-s CDS QN DN' <br /> or- 4NSPeCTM <br /> Page 2 of 3 <br /> Rev.8/2212019 <br /> 1868 E Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />