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S Q N Q Q N Environmental Health Department <br />COUNTY <br />Fri <br />Corrective Action Statement <br />RE: June 09, 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 Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br />Facility name: QUIK STOP MARKET #124 <br />Facility address: 505 N MAIN ST <br />'ERS ID: 10182107 <br />PR0518336 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: PAUL NSO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #110 -Failed to keep signed copy of manifests from the designated facility for three years. <br />� This violation was corrected ❑This violation will be corrected by (date): <br />Y Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Manifests were provided to site and will be kept onsite for the required timeframe. Manifests are attached <br />for the EHD to review. <br />Violation #403 -Failed to keep hazardous waste containers closed except when adding or removing <br />hazardous waste. <br />rx <br />Cl- This violation was corrected <br />C� Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />The hazardous waste in the 55 gallon drums has been disposed of and the drums will remain closed unless <br />adding or removing waste. Pictures are attached. <br />Violation #603 -Failed to mark initial accumulation start date on satellite containers. <br />[A <br />Rev. 9/16/2020 <br />This violation was corrected ❑This violation will be corrected by (date): <br />f� Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />The hazardous waste has been disposed of and the drums are now clearlv marked and visible for <br />including accumulation start date. Pictures and manifests are attached. <br />Page 2 of 2 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />