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SAN ) OAQUIN 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 /> VICTORIA SECRET STORE # 1144 , 4950 PACIFIC AVE STE 425 , CERS ID : 10737790 , PR0541 <br /> Viola�tion�# 110 - Failed to keep signed copy of manifests from the designated facility for three years . <br /> C���- his violation was corrected ❑ This violation will be corrected by ( date ) : <br /> FX Supporting documents included <br /> Describe actions taken or will be taken to correct violation : '. �t �t, � �� `T �� <br /> ' .J n - �S f� ► L ry � � � r..� Ulm <br /> Violation # 111 - Failed to comply with uniform hazardous waste manifest exception requirements . <br /> Cif This violation was corrected ❑ This violation will be corrected by ( date ) : <br /> C7 Supporting documents included /t '7 <br /> Describe actions taken or will be taken to correct violation : � ° �/ � � � Orj -r c.J � � �� <br /> Violation #403 - Failed to keep hazardous waste containers closed except when adding or removing <br /> hazardous waste . <br /> ,� / This violation was corrected ❑ This violation will be corrected by ( date ) : <br /> �r Supporting documents included <br /> Describe actions taken or will be taken to correct violation : �� C,.,.JC�..t� � � /� L'�� 1. <br /> Page 3 of 4 <br /> Rev . 9! 1612020 <br /> 1868 E . Hazelton Avenue � Stockton , California 95205 � T 209 468 - 3420 � F 209 464 - 0138 � www . sjgov . org / EHD <br />