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SA JOAQUiN Environmental Health Department <br /> e COUNTY <br /> �q;�a'.� Greotness grnvrs hcr� <br /> Corrective Action Statement <br /> RE: January 14, 2022, 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 Gabriela Garcia-Mejia at(209)616-3037 or ggarcia-mejia@sjgov.org. <br /> Facility name: VALLEY PACIFIC CHARTER WAY CARDLOCK Submit completed form to: <br /> Facility address: 1501 W CHARTER WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181557 ATTN: GABRIELA GARCIA-MEJIA <br /> PR0522755 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 /> ® Supporting documents included <br /> Describe actions taken or will be taken to correct violation: A copy of Hazwaste manifest 6105035GBF is attached. <br /> Rev.9116!2020 Page 2 of 2 <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 />