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SAN .JO A O U N Environmental Health Department <br /> N r <br /> Corrective Action Statement <br /> RE: December 20, 2019, 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 39 days of inspection. If you have any questions,please contact <br /> Elianna Florido at(209)468-0343 or eflorido@sjgov.org. <br /> Facility name: PEP BOYS#562 Submit completed form to: <br /> Facility address: 1401 S CHEROKEE LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184037 ATTN: ELIANNA FLORIDO <br /> PRO514495 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 /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: ICE' 1 �.L._e _� "-k- <br /> ,mss .5k <br /> �o S&,G <br /> 6I �D3L9sI& AFL6- <br /> Violation#108-Contingency plan is incomplete. <br /> 14 This violation was corrected ❑This violation will be corrected by(date): <br /> J'fI Supporting documents included �Aj C E)L'; A-- -Zo <br /> Describe actions taken or will be taken to correct violation: <br /> Jp <br /> t nC _n G.t I' t. r , /� 0 <br /> Violation#113-Failed to send generator manifest copies to DTSC within 30 days. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included yy���� r <br /> Describe actions taken or will be taken to correct violation: r k H 1-j M AeZA.? <br /> C- <br /> 66: cry 11*e 0— .C. 619100-40 <br /> Page 2 of 6 <br /> Rev_6!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 />