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�r <br /> 69 L LZo-8LOOS wnaiwLad PL1011UN <br /> .`! SAEnvironmental Health Department <br /> �N JOAQUIN <br /> LINTY <br /> Corrective Action Statement <br /> ForRE: November 23, 2020, Hazardous Waste inspection report <br /> Also, de eachviolation listed below, indicate if the violation has been corrected or will be corrected by a certain date. <br /> Compe <br /> Sc for what was done to correct the violation in the space provided below each violation. Submit this <br /> eed <br /> Pleas m with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> Facility n <br /> ntact Paul Nso at(209) 616-3049 or pnso@sjgov.org. <br /> a <br /> Facility adore: A&A GAS FOOD MART Submit completed form to: <br /> dress: 1330 E YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID' 10184191 ATTN: PAUL NSO <br /> PR0518218 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#101 -Managed a hazardous waste without an identification number. <br /> This violation was corrected ❑ This violation will be corrected by(date): <br /> I] Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> ki'o"A j2 <br /> Violation#104-No modified contingency plan. <br /> (This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe a tions taken or will be taken to correct violation: _ <br /> i ti ah !s P <br /> Violation#303 -Failed to maintain all communication or alarm systems, spill control, or decontamination <br /> equipment. <br /> This violation was corrected 11This violation will be corrected by(date): <br /> Supporting documents included <br /> ❑ actions taken or will be taken to correct violation: ` <br /> Describe _ eol 1 5 �s <br /> 3nG 30INV e 2 of 3 <br /> 00`0Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.sjgov.org/EHD <br /> 0116�2�Z� �aZelt�n <br />