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r'tf' S A N ��J O A Q U I N Environmental Health Department <br />CUUNTY <br />`'�1,; ,; Gr'c'<'+tn�55 tjr•Us•;3 iICP�. <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 />Facility name: <br />Facility address: <br />'ERS ID: <br />BUTTER COULD MEDICAL FOUNDATION <br />2545 W HAMMER LN <br />10187831 <br />PR0541469 <br />Violation #104 - No modified contingency plan. <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH bEPARTMENT <br />ATTN: CLAUDIA MURO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <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: Contingency plan has been updated and posted <br />at the facility. (See attached copy of updated plan) <br />Violation #10b - No emergency coordinator. <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: <br />Contingency plan has been updated and posted <br />at the facility. (See attached copy of updated plan and emergency coordinator contact information) <br />Violation #403 - Failed to keep hazardous waste containers closed except when adding or removing <br />hazardous waste. <br />❑ This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date)All noted containers were closed and staff/leadership <br />has been advised to close containers except when adding/removing waste. (See attached informational <br />sheet distributed) <br />: <br />ascribe actions taken or will be taken to <br />Dcorrect violation: <br />Page 2 of 3 <br />Rev. arz�no�e <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 i F 209 464-0138 I www.sjcehd.com <br />