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S AN J O A Q U I N Environmental Health Department <br />J i`J T Y <br />Corrective Action Statement <br />RE: October 11, 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 />BUTTER GOULD, 2505 W HAMMER LN, CERS ID: 10186823, PR0541406 <br />Violation #110 -Failed to keep signed copy of manifests from the designated facility for three years. <br />This violation was corrected <br />Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: All documents were obtained and paper copies <br />filed with the generator copies of the manifests. (See attached) <br />Violation #111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br />Dr This violation was corrected <br />❑ This violation will be corrected by (date <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: All documents were obtained and paper copies <br />filed with the generator copies of the manifests. (See attached) <br />Violation #304 -Failed to maintain adequate aisle space for unobstructed response to emergencies. <br />®/This violation was corrected <br />Q Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: Storage area has been arranged to allow <br />adequate aisle space for unobstructed response to an emergency. <br />Page 3 of 4 <br />Rev. 8/27/2019 <br />1868 E. Hazelton Avenue I Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 I www.sjcehd.com <br />