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SAN JOAQUIN Environmental Health Department <br /> 7oi,j ,-,r <br /> Corrective Action Statement <br /> RE: August 31, 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 dale. 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 /> Haze Saeed at(209)953-6212 or hseeed@sjgov.org. <br /> Facility name: ESCALON PREMIER BRANDS Submit completed form to: <br /> Facility address: 1905 S MCHENRY AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181607 ATTN: HA7A SAEED <br /> PRO517881 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <br /> ® This violation was corrected O This violation will be corrected by(date): <br /> Q Supporting documents included <br /> Describe actions taken or will be taken to correct violation: TCLP test was completed for the metal shavings; <br /> Moving forward metal shavings will be stored and disposed of as hazardous waste. <br /> See attachment"Metal Shavings". <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 /> �] Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Manifests located. <br /> Moving forward manifests will be kept in the manifests binder located in the ORM office for 3 yrs. New <br /> procedure was reviewed with team member handling manifests <br /> See attachment titled, "Hazardous Waste Manifest". <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br /> M This violation was corrected ❑This violation will be corrected by(date): <br /> q Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Signed Manifests located. <br /> Moving toward ORM will ensure manifests will be kept in the"Manifest" Binder located in the ORM office for 3 years. <br /> New procedure was reviewed with team member handling manifests. <br /> See attachment titled, "Hazardous Waste Manifest". <br /> Page 2 of 5 <br /> Rev,snrv2o2o <br /> 1863 E. Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sl9ev.org/EHD <br />