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� - <br /> SAN J OAQ U I N Environmental Health Department <br /> COUNTY <br /> c 'rt Grootness gravis here , <br /> Corrective Action Statement <br /> RE : August 24 , 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 : DINO MART Submit completed form to : <br /> Facility address : 1001 E YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10180593 ATTN : PAUL NSO <br /> PR0518222 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #104 - No modified contingency plan . q <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 #105 - No emergency coordinator available for emergency response . <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 c rrect violation : <br /> Violation #113 - Failed to keep copies of consolidated manifesting receipts for three years . <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 2 of 4 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjgov. org/EHD <br /> I <br />