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A N . OQUI N Environmental Health Department <br /> i A <br /> Corrective Action Statement <br /> RE: October 01, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please <br /> contact Jason Gaitan at(209)616-3036 or jgaitan a@sjgov.org. <br /> Facility name: AMERICAN CUSTOM MEATS <br /> Submit completed form to: <br /> Facility address: 4276 N TRACY BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID- 10181701 ATTN:JASON GAITAN <br /> PR0537585 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 9301 -Facility not maintained to minimize the release of a hazardous waste. <br /> If This violation was corrected 0 This violation will be corrected by(date): <br /> 1( Supporting documents included <br /> Describe actions taken or will be taken to correct violation: G �� (A k(e, <br /> Violation#403-Failed to keep hazardous waste containers closed except when adding or removing <br /> hazardous waste. <br /> 9 this violation was corrected ❑This violation will be corrected by(date): <br /> Q( Supporting documents included <br /> Describe actions taken or will be taken to correct violation: t)s� <br /> Irl rcC. f(J u wL <br /> r n fe <br /> Violation#601 -Stored hazardous waste onsite greater than 180 days. <br /> 21 This violation was corrected ❑This violation will be corrected by(date): <br /> 6 Supporting documents included <br /> Describe actions taken or will be taken to correct violation; [A}S45)r f- D- <br /> `c e PnIL <br /> { � ' ifs � <br /> Rev 91IN2020 Page 2 of 3 <br /> 1868 E. Hazelton Avenue i Stockton,California 95205 1 T 209 468-3420; F 209 464-013$ J www.slgov.org/EHD <br />