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SAN J O A Q U l N Environmental Health Department <br /> COUNT- <br /> Corrective Action Statement <br /> RE: October 29, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions please contact <br /> Elianna Florido at(209)468-0343 or eflorido@sjgov.org. <br /> Smart& Final#593, 215 E Lodi Ave, CERS ID: 10456918, PRO539384 <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> it This violation was corrected INhis violation will be corrected by(date): 10-30-19 <br /> Mf Supporting documents included <br /> Describe actions taken-or will be taken to correct violation See cc593 Corrective Action Statement doc. <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br /> VThis violation was corrected This violation will be corrected by(date): 10-30-19 <br /> 0 Supporting documents included <br /> Describe actions taken a will be taken to correct violation See cc593 Corrective Action Statement doc_ <br /> Violaation#404-Failed to inspect hazardous waste storage areas at least weekly. <br /> ®ioThis violation was corrected VThis violation will be corrected by(date): 10-29-19 <br /> VSupporting documents included <br /> Describe actions taken or will be taken to correct violation See cc593 Corrective Action Statement doc. <br /> Page 3 of 4 <br /> Rev 8127/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 4640138 1 www.sjcehd.com <br />