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SAN j 0 AQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: May 11, 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 d <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions,p <br /> contact Jason Gaitan at(209)468-9848 or igailan@sjgov.org. <br /> Facility name TRACY SMOG TECH <br /> Submit completed form to: <br /> Facility address 24588 S MacArthur Dr SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> ATTN:JASON GAITAN <br /> CERS ID 10755619 1868 E HAZELTON AVENUE <br /> PRO542539 STOCKTON. CA 95205 <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 acDons taken or will be taken to correct violation: <br /> Dt�� (.{.,.-.•til S•.`{S t it ti �z QruJ� }Int S W ,� <br /> fl!) �-5 <br /> Violation al 13 -Failed to keep copies of consolidated manifesting receipts for three years. <br /> ❑ This violation was corrected XtThis violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> �,�� t.f-Q� <br /> DescrDescribeticilunt, taken Gr �� '.i tit; laken to Correct violation �r etrt�� 0 <br /> Says DL W,-RADS �„tll � � c• � � �e� r5 <br /> Violation #301 -Facility not maintained to minimize the release of a hazardous waste. <br /> ❑ This violation was corrected This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or wiil he taken to correct violation Qwn co�tV' <br /> 4 <br /> 16 a I ��,�,-�t, l Qt �� +AP --- <br />