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SAN J O A Q U I N Environmental Health Department <br /> : � UNTY <br /> Greatness qrn , :, e <br /> Corrective Action Statement <br /> RE : February 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. <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 Cesar Ruvalcaba at (209) 953-6213 or cruvalcaba@sjgov. org . <br /> Facility name : TEVELDE , GEORGE DAIRY Submit completed form to : <br /> Facility address: 27815 E DODDS RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10184305 ATTN : CESAR RUVALCABA <br /> PRO530149 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #101 - Managed a hazardous waste without an identification number. <br /> ` 6 This violation was corrected ❑ This violation will be corrected by (date ) : <br /> ❑ Supporting documents included A n <br /> Describe actions taken or will be taken to correct violation : / 1 V � 11 to l (/ � I �/ 101A MbL Y <br /> o2a <br /> Violation #301 - Facility not maintained to minimize the release of a hazardous waste. <br /> , j 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 :Mm <br /> 0 Cd b e Cha a iL 00 -si I' anj 1mr `�t fel <br /> 0 is <br /> Violation #403 - Failed to keep hazardous waste containers closed except when adding or removing <br /> hazardous waste. <br /> This violation was corrected ❑ This violation will be corrected by (date ) : <br /> Supporting documents included 1 ,, <br /> Describe actions taken or will be taken to correct violation : VlJt� d 1 I CUf7� A 16 "rf <br /> v1c- roSc - h S mn aa, <br /> %0owl II <br /> Page 2 of 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464 -0138 1 www. sjcehd . com <br />