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Environmental Health Department <br /> SAN OAQUIN <br /> i <br /> � -..CQUNTY--.-- <br /> %^CC� fr,.> Grcotncis grows here. <br /> Corrective Action Statement <br /> RE: June 07, 2021, 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. <br /> Also,describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Lydia Baker at(209)616-3046 or[baker@sjgov.org. <br /> Facility name: A&A GAS&FOOD MART Submit completed form to: <br /> Facility address: 16 E HARDING WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181239 ATTN:LYDIA BAKER <br /> 1868 E HAZELTON AVENUE <br /> PRO518181 STOCKTON,CA 95205 <br /> Violation#104-No modified contingency plan. <br /> El 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 /> C 0 rJ I 6 <br /> G <br /> Violation#117-Failed to submit a written response within 30 days of receiving an inspection report. <br /> his 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 /> �a,an hna C lz-3 <br /> v — <br /> Violationn#606-Failed to completely label containers or portable tanks of hazardous waste. <br /> D 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 /> wCto n I nth S <br /> 00 <br /> J <br /> 5 <br /> 05 <br /> � GO <br /> > o <br /> Q G°y Page 2 of 2 <br /> � �L � OG Rev 9/16/2020 <br /> 1868 E.Hazelton Avenue Stockton,California 95205 1 T 209 468-3420 1 F 209 464-013R �M,,. .- <br /> � I �s1 ov.org1EHD <br /> c <br /> 0 <br />