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SAN J O A Q U I N Environmental Health Department <br /> CO � JNTY <br /> Corrective Action Statement <br /> RE : March 06 , 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 /> Jason Gaitan at (209) 468-9848 or igaitangsigov. orq . <br /> Facility name : TRACY FORD Submit completed form to : <br /> Facility address : 3500 AUTO PLAZA WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10184015 ATTN : JASON GAITAN <br /> PRO514484 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #109 - Failed to maintain a hazardous waste contingency plan onsite and submit to required <br /> agencies . <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 #114 - Failed to keep signed copy of manifests from the designated facility for three years . <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> t<Y Supporting documents included <br /> Describe actions taken or will be taken to correct violation : x! <br /> Violation #115 - Failed to comply with uniform hazardous waste manifest exception requirements . <br /> f, 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 : JJG`/d � L �G <br /> Page 2 of 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />