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SAN J O AQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: September 20, 2023, 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 /> competed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: Nutrien Ag Solutions-Vernalis Submit completed form to: <br /> Facility address: 35100 S HWY 33 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CEWRS ID: 10182607 ATTN: VICKY VANG-LEE <br /> PR0513779 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102 -Failed to determine it 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: <br /> Violation #104-No modified contingency plan. <br /> K 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, `` "�1 C-n eA `tC c..gra• <br /> Violation#110 -Failed to keep signed copy of manifests from the designated facility for three years. <br /> ❑ This violation was corrected KThis violation will be corrected by(date): 0� 2—as <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 3 <br /> Rev 9116/2020 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orglEHD <br />