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{ AVI"N� Environmental Health Department <br /> r SAN, JOAQUIN <br /> SCJ lr V U IN I T <br /> Corrective Action Statement <br /> RE: October 02, 2019, 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: SUSD FRANKLIN HIGH SCHOOL Submit completed form to: <br /> Facility address: 4600 E FREMONT ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182367 ATTN: LYDIA BAKER <br /> PR0513600 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#108-Failed to complete,sign or date manifest;or obtain dated signature of transporter. <br /> ■ This violation was corrected ' jq l q❑This violation will be corrected by(date): <br /> E' Supporting documents included /� . <br /> Describe actions taken or will be taken to correct violation: A �cn('Fe S, (�v�r C <br /> �/ "c.� }� J(Q%j/�`. /� n r-e car t e <br /> PO Chea x �)06 IVt S C i - 1 Sex crakte.q L CA 2, <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 /> IN Supporting documents included <br /> Describe actions taken or will be taken to correct violation: _CrC3YYL�_cam-�i'�'� C ]`� n C v C-e ted <br /> vL dl ❑ v ' Ale <br /> 7 Le--e, <br /> u <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br /> 0' 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: Cf,f e c Wo`'i A/�1 C+ L"-Y,� <br /> �o i s <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.sjcehd,com <br />