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SAN 10AQUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE: November 19, 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 lbaker@sjgov.org. <br /> Facility name: RB Environmental Inc Submit completed form to: <br /> Facility address: 4460 S HWY 99 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184135 ATTN: LYDIA BAKER <br /> PRO523170 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#107-Failed to prepare manifests for transportation of hazardous waste. <br /> �1 r <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 /> u <br /> i <br /> Violation#119-Failed to report program data in the California Environmental Reporting System(CERS). <br /> .IR This violation was corrected bi This violation will be corrected by(date): ja^ <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: r <br /> Violation#201-Transported or transferred hazardous waste to a transporter without valid registration. <br /> I& This violation was corrected ❑This violation will be corrected by(date): 9 <br /> ❑ Supporting documents included <br /> Describe actions taken or wi I be taken to correct violation: <br /> 1,40r <br /> r <br /> l'��a✓4,Gv�q r� 1Q10 C1'ti1 � ���/ � <br /> Page 2 of 3 <br /> Rev.8/22/2019 <br /> 1868 E.Hazelton Avenue I Stockton,California 952051 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />