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f��f1n1II1� Environmental Health Department <br />�U 411 <br />COUNTY <br />Greatness grows Fare, <br />Corrective Action Statement <br />RE: March 02, 2020, RCRA 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 Ibaker(asjgov.orq. <br />Facility name: <br />AMAZON.COM SERVICES, INC-SMF3 <br />Submit completed form to: <br />Facility address: <br />3923 S B ST <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: <br />10771885 <br />ATTN: LYDIA BAKER <br />PR0544422 <br />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: <br />Violation #105 - Failed to submit Biennial Report to DTSC or retain onsite 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 />Violation #112 - Failed to prepare manifests for transportation of 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 />Page 2 of 4 <br />Rev. 8/22/2019 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />