Laserfiche WebLink
S A N JOAQUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE : May 21 , 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 form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Elianna Florido at ( 209 ) 468 - 0343 or eflorido � sjgov . orq . <br /> Facility name : Staples the Office Superstore #0726 Submit completed form to : <br /> Facility address : 2415 W Kettleman Ln SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10636075 ATTN : ELIANNA FLORIDO <br /> PR0540365 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation # 102 - Failed to determine if a waste is 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 : The. A " �C'.c �` vt� oh G � reerls <br /> i�� � es4,-on are all S � ► AQPr� fa l/i1erX rePu � � se � y � � eS <br /> � 3g0 (Jean ln� a .q � � bd , S o � � hlak � TX � bo9 2 . Ther aye rr✓�'�rbi� h� <br /> a ,nd renal c� . <br /> Violation # 104 - No modified contingency plan . <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 : �r l) y ► <br /> All <br /> n r <br /> � M6r" C� � n(.t Tr �OrMa } O ✓1 i� pGJMen -F i5 �10vV OMPIe � P� G ►'�U /� OS�' <br /> Violation # 105 - No emergency coordinator . <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 violatiolIn : M �, f e✓1 L GOO �'C� � ✓1 Ct '� U r <br /> has bP.e 'r1 ic� Pn � �� l � GinU pOs -) �l uJ -j � � D � � V1 -c.� fC� <br /> ., I-IAZA � o� o � S WaS � e rnne �ae � ti T ,•�-orMa ♦ �tu� ' ' ► "� oc � � �� -I- . <br /> Page 2 of 4 <br /> Rev . B/27 /2019 <br /> 1868 E . Hazelton Avenue � Stockton , California 95205 � T 209 468 - 3420 � F 209 464 - 0138 � www . sjcehd . com <br />