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SAN sJOAQUIN Environmental Health Department <br /> -COUNTY <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE: February 14, 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. <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: Pacific Ag Rentals-Stockton Submit completed form to: <br /> Facility address: 3540 Carpenter Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10752205 ATTN: LYDIA BAKER <br /> PR0542634 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <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 /> �( Supporting documents included aa ��11 <br /> Describe actions taken or will be taken to correct violation: f' u, h66m otrao 54c4uT.Z <br /> 6x,qr/5j-r /14-A To 114-t) ATZZ Cyril s-5 c�P m ie bO31Gnlmcfn Ryy-1t l"1y <br /> M 19"A Ce-" . Exii-+,n iT 114-'D 1 3 I A:1 C LU1DCy DD-to T14 Er2M LAA" 111krAC:-r') <br /> Violation#115-Failed to comply with uniform hazardous waste manifest exception requirements. <br /> XThis violation was corrected ❑This violation will be corrected by(date): <br /> Olf Supporting documents included <br /> Describe actions taken or will be taken to correct violation: .d 11414- 0 " �Y?/ll.��/!/EzarzOJl7- <br /> Oda, <br /> M4A)1ks-r:j" w/L- &,r -z ✓gyp ��/.30�/�� .a n,.�i�✓c,��Urz.6 Tf9fi9T <br /> %� �/fE �a�J�YU'1-70/�5 G�✓ld. /�./ �/���1/c�r1 �, 7 7'f/E (JFM S <br /> Ake r 12axi eve., Alz�✓/✓JD✓L <br /> Violation#601 -Stored hazardous waste on site longer than 90 days without a permit or authorization. <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: �C � M/LUA45 A✓[r ✓ 460d deco <br /> r-dy m 5-rd - Exi/l t3 rT &0,1-A (0/873g,�?� ) J�fs/ lrt>c�'rA--4L,r ry <br /> —v 4!!�rCA24, P,t�9�. �v .v� - -moo,✓ �� 7��u/�/s �vi� /31� <br /> /A/.3i7ne-7c/9 4 OF -tggicH Wolk writ ~ 11 tr4VVVVd <br /> Page 2 of 3 <br /> Rev.8/22/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />