Laserfiche WebLink
S I JO a Q U I N �,� VIV F (C) 11� r� �� �� � lo h o �� �� � � c� � <br /> Corrective Action Statement <br /> RE : October 10 , 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 . Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Claudia Muro at (209) 468-3429 or cmuro@sjgov. org . <br /> Facility name: LODI MEMORIAL HOSPITAL WEST Submit completed form to : <br /> Facility address : 800 S LOWER SACRAMENTO RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10180613 ATTN : CLAUDIA MURO <br /> PRO514028 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #605 = Failed to completely label containers or portable tanks of hazardous waste . <br /> 12'* This violation was corrected ❑ This violation will be corrected by (date) : <br /> 53� Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> / VZ- Oprig coq-hc.6�D Asa lZkRWv1/6";Q A7 �2m� ✓ oe 7LaM:k <br /> 0 cL-" J7ozJs . /3�iF1U . /��" (CaP2 7 agml?. . <br /> Page 2 of 2 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468- 3420 F 209 464-0138 1 www . sjcelid . coni <br />