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SANJOAQUIN Environmental Health Department <br /> GrPofness 9-owf Fere. <br /> Corrective Action Statement <br /> RE: January 16, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you'have any questions, please <br /> contact Claudia Muro at(209)468-3429 or cmuro@sjgov.org. <br /> Facility name: AFD Body Shop North Submit completed form to: <br /> Facility address: 7374 MURRAY DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182563 ATTN: CLAUDIA MURO <br /> PRO513744 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 ❑This violation will be corrected by(date): <br /> SY Supporting documents included _ <br /> Describe actions taken or will be taken to correct violation: e'f wo f <br /> SAF (9 LA f o; f e s fi ' ; r,•z.I o <br /> rel h he rad f, We— rch e o, 6r>'"e l For fiht A fy,,5al o � tr4n c, c4'', <br /> Violation#108 -Failed to complete,sign or date manifest; or obtain dated signature of transporter. <br /> El l 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: GO-tA�' p' "t v -(7 tl r f <br /> Vtvtaf:o_l r�r { r"o%� tiY 1�«,t,feSl ! ✓� Q 1Aef4c vv cis {nor ci <br /> .{- I�ah �✓r�S 117 re vip+..5 tr�� «� fi1^e Act re 55. G-CICS;e `S A0lho4 '✓�, <br /> Violation#110 -Failed to keep signed copy of manifests from the designated facility for three years. <br /> This violation was corrected ❑This violatiotf%ill be corrected by(date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: e'Ve, <br /> wA s dor a 6,5-1e;;5 +kc44 G5 tore V/'V r>' <br /> <ol' 6A"nf Y)e. l- wc/ n.L✓e'L $ Omp— ,��:^ve�1�,•,5 <br /> Page 2 of 3 <br /> Rev.812712019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 f www.sjcehd.com <br />