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M � I � Environmental Health Department <br /> u <br /> '- -COUNTY— <br /> Greatness <br /> COUNT <br /> Greatness grows here, <br /> Corrective Action Statement <br /> RE: March 01, 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. 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 /> Frederick Ernest at(209)616-3026 or fernest@sjgov.org. <br /> Facility name: KNIFE RIVER Submit completed form to: <br /> Facility address: 400 S LINCOLN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183985 ATTN: FREDERICK ERNEST <br /> PR0516296 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 ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Barrel In question was filled with sprinkler and rain <br /> water, contents were drained. Manifest# 023583407JJK. Barrel was cut up and disposed of. <br /> See attachment: Violation 102 <br /> Violation#106-Failed to train employees on waste handling and emergency procedures. <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: This was addressed with personal coaching and <br /> readdressed during annual/refresher training held 3-23-2022. Lesson plan and attendance attached. <br /> See attachment: Violation 106 <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: Completed chain of custody Manifests attached. <br /> Completed Manifest sent via Billing, new proceedures are in the place for the manifests to be <br /> delivered to the shop and archived. <br /> See attachment: Violation 110 <br /> Page 2 of 5 <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 />