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SANsJOANIN <br /> 6! i — COUNTY _ _�. <br /> Greatness grows hrr4 <br /> Corrective Action Statement <br /> RE : October 22 , 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 : ORCHARD & VINEYARD SUPPLY Submit completed form to : <br /> Facility address : 420 N SACRAMENTO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10185149 ATTN : CLAUDIA MURO <br /> PR0524372 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation # 101 - Managed a hazardous waste without an identification number. � ! <br /> V This violation was corrected JZ This violation will be corrected by (date) : AlaV' I rH "Idq/l <br /> fU Supporting documents included <br /> Describe actions taken or will be taken to correct violation : 4?`r.4e11e,0 156V,54 "4 M AV/Ke5e/ <br /> Violation #119 • Failed to report program data in the California Environmental Reporting System (CERS ) . <br /> ,ki This violation was corrected This violation will be corrected by (date) : D (2 �r `� �� <br /> Y1 Supporting documents included /' <br /> Describe actions taken or will be taken to correct violation : � rwweo e/ l3el <br /> To 062 :5 <Zoxy5o /i ; Ain) Lz�71g6s7Zhomey <br /> Violation #403 - Failed to keep hazardous waste containers closed except when adding or removing <br /> hazardous waste. <br /> IX This violation was corrected This violation will be corrected by ( date) : <br /> `P Supporting documents included <br /> Describe actions taken or will be taken to correct violation : 4 r77 /wqw) � 6 A PHOTO ON 0" <br /> 3h e1H e12 <br /> Page 2 of 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 F 209 464 -0138 1 www. sjcehd . com <br />