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M�I� Environmental Health Department <br />u <br />'--COUNTY— <br />Greatness <br />COUNT <br />Greatness grows here, <br />Corrective Action Statement <br />RE: September 22, 2020, 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 />Claudia Muro at (209) 561-8923 or cmuro@sjgov.org. <br />Facility name: LOCKEFORD PLANT MATERIAL CNTR <br />Facility address: 21001 N ELLIOTT RD <br />CERS ID: 10183627 <br />PR0539972 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: CLAUDIA MURO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #110 - Failed to keep signed copy of manifests from the designated facility for three years. <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: <br />Violation #113 - Failed to keep copies of consolidated manifesting receipts for three years. <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: <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />