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SANJ D A Q U I N Environmental Health Department <br /> - �I T, I <br /> Corrective Action Statement <br /> RE: November 27, 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: LOS AMIGOS TIRE&WHEEL Submit completed form to: <br /> Facility address: 123 S MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: none ATTN: LYDIA BAKER <br /> PRO545024 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 i <br /> Describe actions taken or will be taken to correct violation: W Mkt vw &L t <br /> G �ctivy s� -Q,:) b wI::-e S�Gc U :r.� v� V\- 7W-y ux �t Ck` 0.�p <br /> Violation#113-Fai}ed to keep copies of consolidated manifesting receipts for three years. <br /> f 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 /> Violation#119-Failed to report program data in the California Environmental Reporting System(CERS). <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> r <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: -_e <br /> Page 2 of 2 <br /> Rev.8:2212M <br />