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{ AJ OAN Environmental Health Department <br /> SIN <br /> COUNTY <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE: March 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 Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> Facility name: 99 Cents Only Stores#157 Submit completed form to: <br /> Facility address: 300 W Kettleman Ln SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10440301 ATTN: LYDIA BAKER <br /> PR0538452 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 0 This violation will be corrected by(date): <br /> ® Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Market Director assisted store team in sorting <br /> and determing the waste class. Hazardous wastes were hauled away by Clean Earth. <br /> Violation#106-Failed to train employees on waste handling and emergency procedures. <br /> ® This violation was corrected 0 This violation will be corrected by(date): <br /> ® Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Training records for employees available on <br /> on site <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> fall This violation was corrected This violation will be corrected by(date): <br /> X Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Manifest anifest available on site. <br /> Page 2 of 3 <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 />