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S 1QAn � ` N Environmental Health Department <br /> COUNTY <br /> Greatness grows ' ere . <br /> Corrective Action Statement <br /> RE : July 06 , 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 Elianna Florido at (209) 468- 0343 or eflorido@sjgov . org . <br /> Facility name : AutoZone #3779 Submit completed form to : <br /> Facility address : 3512 Manthey Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10140035 ATTN : ELIANNA FLORIDO <br /> PR0538373 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #114 - Consolidated manifest receipts failed to contain complete information . <br /> S 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 : Pe ( Ce "vccsA41 ort j!4z a ct Rns s <br /> 4b%.& issue , t.!/ -he nt. l frw �a_y .s Ams a. 42P a of i + L kc , 1% a oga.r� i, r, S;, . L.. ,.� <br /> 6✓�/d f� , / nnrl „ f1s.,dfw /i� 6fc ✓ rio W ti r✓ret ✓ IJet � inY /ff. dhle 4Arew <br /> ovd r „ I�. ill 12& & sa/. / �;% Ap zt, , ✓r s /r�ydo +r�n1�l < py" 41errs- ten . / <br /> / } GW [1/Cfy <br /> Yi rnG rbYYl6 �� /✓1 Zv/ / yyc ' a /`�7✓G.".L . <br /> eR/ ✓v /,jV2en1/oi 0 /vtre ✓eco ,61j A c . / 6 / r� 6lo, FiAj 60,x.-,� <br /> Page 2 of 2 <br /> Rev . 8/2712019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjcehd . com <br />