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s <br /> SAN_ JOAQUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE:August 04, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: GOODWILL(MANTECA#21) Submit completed Form to: <br /> Facility address: 1477 W YOSEMITE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10861546 ATTN:PAUL NSO <br /> PRO546532 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#104-No modified contingency plan. <br /> XThis violation was corrected ❑This violation will be corrected by(date): <br /> '�C Supporting documents included <br /> Describe actions taken or will be taken to correct violation. <br /> C N <br /> CA,, 4D <br /> Page 2 of 2 <br /> Rev 9176!2020 <br /> IB68 E.Hazelton Avenue) Stockton,California 95205 1 T 209 468-3420 1 f 209 464-0138 1 www.slgov.org/EHD <br />