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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: September 27, 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 /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Michael Suszycki at(209)598-7001 or msuszycki@sjgov.org. <br /> MANTECA DENTAL CARE, 1007 S MAIN ST, CERS ID: 10864561, PRO546502 <br /> Violation#714-Universal Waste Handler failed to train employees and maintain records. <br /> 61-'This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included ,�7 <br /> Describe n actions taken or will be taken to correct violation: `,, ��Ot'n �WJ �hrih� C V <br /> K. V1S"r TTS IGS S •lY'ir'r Yf!/r�n l- <br /> Violation#715-Universal Waste Handler failed to keep three years records of each shipment of universal <br /> waste. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included �� J <br /> Describe actions taken or will be taken to correct violation: LhY` V v <br /> 92S 16Jkr Chun t) <br /> Page 4 of 4 <br /> Rev.9116/2020 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 wvvw.sjgov.org/EHD <br />