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SAN J O AQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : July 19 , 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. Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Claudia Muro at (209 ) 468 -3429 or cmuro@sjgov . org . <br /> Facility name : MIJANGOS AUTO REPAIR Submit completed form to: <br /> Facility address : 540 N GRANT ST STE 11 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10825525 ATTN : CLAUDIA MURO <br /> PR0523217 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #101 - Managed a hazardous waste without an identification number. <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 /> 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 ff�� <br /> Describe actions taken or will be taken to correct violation : Z ;' 410 <br /> 14/ <br /> S rim <br /> Violation #119 - Failed to report program data in the California Environmental Reporting System ( CERS) . <br /> ❑ This violation was corrected 11This violation will be corrected by ( date ) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2 of 2 <br /> Rev, 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468 -3420 1 F 209 464 -0138 1 www . sjcehd . com <br />