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NJ�HQIIUIN Environmental Health Department <br /> N <br /> COU NTY <br /> c� <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE: September 03, 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 John Alaniz at(209)468-3147 or jalaniz1(c@sigov.orq. <br /> Facility name: SIMPSON STRONG TIE CO Submit completed form to: <br /> Facility address: 1255 PERFORMANCE DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184961 ATTN: JOHN ALANIZ <br /> PR0539037 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <br /> LTJ 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: Facility will require vendors/contractors (i.e. <br /> third party) to fill out and leave appropriate documentation with facility (e.g. maintenance <br /> receipt/form provided by John Alaniz, SJC EHD) for any waste that is generated and <br /> transported off site by third party. These forms have been printed out ahead of time. <br /> Violation#104-No modified contingency plan. <br /> hd 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: Corrected on site <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> VThis 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: Facility will require vendors/contractors (i.e. <br /> third party) to fill out and leave appropriate documentation with facility (e.g. maintenance <br /> receipt/form provided by John Alaniz, SJC EHD) for any waste that is generated and <br /> transported off site by third party. Facility will keep signed copies for a minimum of 3 years. <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 />