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U <br /> Environmental stealth Department) 0 A0UIN <br /> Corrective Action Statement <br /> RE : January 08 , 2020 , 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 /> Garrett Backus at (209 ) 468-2986 or gbackus@sjgov . org . <br /> Facility name : STOCKTON AUTO CARE Submit completed form to : <br /> Facility address : 1025 E PARK ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10182431 ATTN : GARRETT BACKUS <br /> PR0513655 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #104 - No modified contingency plan . <br /> 3 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 : New y4gcc <br /> Violation #105 - No emergency coordinator. <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 : 2 lk kb cxk. 'fid &SVE <br /> Violation #110 - Failed to keep signed copy of manifests from the designated facility for three years. <br /> 211*00�Thls 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 : �t � VCL <br /> Page 2 of 4 <br /> Rev, 8/27/2019 <br /> 1868 E . Hazelton Avenue 1Stockton , CaBforci a ::,�i;3 i .t 209468-34201 F 209464-0138 1 wvvva . sjceh:: .cacrc <br />