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CEIV <br /> _ <br /> :� i . a Environmental Health Department <br /> SAN JQAQuIN FE <br /> C C) LJ I`�I -( Y <br /> Corrective Action Statement <br /> RE : August 21 , 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. <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 Lydia Baker at (209 ) 468-8257 or ( baker@sjgov . org . <br /> Facility name : CHARLIES AUTO PARTS & HARDWARE Submit completed form to: <br /> Facility address : 4515 E MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10184975 ATTN: LYDIA BAKER <br /> PR0529459 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #113 - Failed to keep copies of consolidated manifesting receipts for three years . <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 /> / Z!7 <br /> Violation #205 - Failed to manage used oil contaminated with other hazardous waste as 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 : <br /> 12 14 XCcz to <br /> Violation #301 - Facility not maintained to minimize the release of a hazardous waste . <br /> ,13' 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 /> roa4Ie. <br /> e� r <br /> Page 2 of 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 T 209 468 -3420 1 F 209 464-0138 1 www. sjcehd . com <br />