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S A N J 0 A Q U I N 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 /> Staples the Office Superstore #0726 , 2415 W Kettleman Ln , CERS ID : 10636075 , PR0540365 <br /> Violation # 715 - UWH failed to keep complete records of each shipment of universal waste for three yea/r�s�. <br /> ❑ This violation was corrected bA This violation will be corrected by ( date ) : i " <br /> ❑ Supporting documents included <br /> Describe actions taken or will be ta1ken to corrle�ct violation : � � ' � % �n � vJG, � � A ( � Mdni�CS ��O <br /> � � 0 �✓1 SI, ; �, Me., -I- S o� -� � � o � eSGen � � ct +�1 �S v�1 � � � Iv� a � n f' a ► n �`i <br /> o n Si '� Pi ' <br /> Page 4 of 4 <br /> Rev . 8/27/2019 <br /> 1868 E . Hazelton Avenue � Stockton , California 95205 � T 209 468 - 3420 � F 209 464 - 0138 � www . sjcehd . com <br />