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SAN JOAOUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE: November 13, 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 John Alaniz at(209)468-3147 orjalanizl@-sjgov.org. <br /> Facility name: OLDCASTLE APG Submit completed form to: <br /> Facility address: 4202 GIBRALTAR CT SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10185167 ATTN:JOHN ALANIZ <br /> PRO538513 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 /> De cribe actions taken or will be taken to correct violation: (/ <br /> lin <br /> S <br /> J 1 <br /> Violation#110-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 /> Supporting documents included <br /> Describe actions to n or will be taken to correct violation: tq 1A <br /> .� r ` a� s / <br /> CIA <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br /> l This violation was corrected ❑This violation will be corrected by(date): <br /> asl� Supporting documents included <br /> Describe actions taken or will be taken to correct violation: SZC P'or F0-0 'lS i laOp / <br /> lc/A— <br /> X'o- '�!44 - <br /> Page 2 of 3 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />