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SAN 10AQ U I N Environmental Health Department <br /> r_ )! INTY <br /> Corrective Action Statement <br /> RE : October 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 TEICHERT & SON INC" Submit completed form to : <br /> Facility address : 120 FRANK WEST CIR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10184157 ATTN : LYDIA BAKER <br /> PR0518400 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation # 108 - Contingency plan is incomplete . <br /> This violation was corrected ❑ This violation will be corrected by ( date ) : <br /> P, =Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Cpl P ORR lrtlMe <br /> Violation #114 - Failed to keep signed copy of manifests from the designated facility for three years . <br /> VThis 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 /> 05F 0- 012S rv% US ) rv) Mgn .� Dao � 6�29y > > GC <br /> v <br /> Wef 4e k Ain <br /> CIA <br /> UOr <br /> Violation # 117 - Failed to maintain complete hazardous waste training records . <br /> j 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 : n <br /> �Jr- Ir t � 5- LItnli4Ce ( 13rA <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 />