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SAN J OA Q U IN Environmental Health Department <br />TY <br />Corrective Action Statement <br />RE: October 07, 2019, 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) 468-0343 or eflorido@sjgov.orq. <br />ULTA BEAUTY #1152 (Lodi), 1423 S LOWER SACRAMENTO RD, CERS ID: 10705807, PRO54 <br />Violation #111 - Failed to comply with uniform hazardous waste manifest exception requirements. <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 #405 - Failed to manage incompatible wastes in containers properly. <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 #605 - Failed to completely label containers or portable tanks of hazardous waste. <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 4 of 4 <br />Rev. 8/27/2019 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />