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SAN 10 A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : November 02 , 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 /> Elianna Florido at ( 209 ) 616 - 3050 or eflorido@sjgov . org . <br /> Facility name : VICTORIA SECRET STORE # 1144 Submit completed form to '. <br /> Facility address : 4950 PACIFIC AVE STE 425 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10737790 ATTN : ELIANNA FLORIDO <br /> 1868 E HAZELTON AVENUE <br /> PR0541986 STOCKTON , CA 95205 <br /> Violation # 102 - Failed to determine if a waste is a hazardous waste . <br /> �/ This violation was corrected ❑ This violation will be corrected by ( date ) : j � �� Zc.� <br /> LS Supporting documents included <br /> p w t K/ ' ' ,S'� Z ; 1 IC C� G� � /► qtr CGl L' "' rc �i/. �1 c'{ !�(Z v� .�-. �' <br /> ,,x �'�nrJ� !.Z J ,f � �' � cL V; v / _ � � �1 /ru �✓. � G. !�- .-.lr ,� <br /> i,✓ J-h C� rr � � f / �- �-L so � ✓ 1'� s cv� cl �l � .�F�.c� f-r�>� ,� .�v /-tom < . <br /> Violation # 104 - No modified contingency plan . <br /> Q 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 : h� Q ��� n � C "'' � <br /> �0 /1i1"ctNc-� � i.-� -PiVz, S.�--�-rn %, r�e ✓� o u s % <br /> Violation # 106 - Failed to train employees on waste handling and emergency procedures . <br /> E� This violation was corrected G3'°`fhis violation wiN-bs corrected by ( date ) : <br /> f� Supporting documents included // <br /> Describe actions taken or will be taken to correct violation : �L-t �_ �7�-L� � � G�l � f✓ .�il.C� <br /> Page 2 of 4 <br /> Rev . 9 / 162020 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 F 209 464 - 0138 1 www . sjgov . org / EHD <br />