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SAN 1OAQUIN Environmental Health Department <br /> OUNTY - -- <br /> Corrective Action Statement <br /> RE: March 11, 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 /> Haze Saeed at(209)953-6212 or hsaeed@sjgov.org. <br /> Facility name: LOPEZ CUSTOM COMPOSITES Submit completed form to: <br /> Facility address: 4221 E MARIPOSA RD BLDG D SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERSID: 10586533 ATTN: HAZA SAEED <br /> PRO513799 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102•Failed to determine if a waste Is as hazardous waste. <br /> 4 is violation was corrected arThis violation will be corrected by(date): I a <br /> GY Supporting documents included <br /> Describe actions taken or will abe taken to correct violation: TA a ` S <br /> IOe e c2a� 4. I�u ate, <br /> ¢1� <br /> 10 c, .�4 d4 n '�— (-/� 'Low✓' r9 <br /> On I I.tir �} /:2 Le. t.✓e etj <br /> Rev.9/Mo2o 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 />