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SAN J 0 A Q U I N Environmental Health Department <br /> CnUNTY <br /> Corrective Action Statement <br /> RE: September 04, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Jason Gaitan at(209)468-9848 or igaitan(a)sigov.org. <br /> Facility name: NIXON-EGLI EQUIPMENT Submit completed form to: <br /> Facility address: 800 E GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184879 ATTN:JASON GAITAN <br /> PR0538485 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#108-Failed to complete,sign or date manifest; or obtain dated signature of transporter. <br /> This violation was corrected ❑This violation will be corrected by(date): �C� <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Tb <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br /> Z This violation was corrected ❑This violation will be corrected by(date): 1 <br /> supporting documents included T <br /> Describe actions taken or will be taken to correct violation: N►-+r•NW-tG '-t1om b e_v-kAA�-- <br /> Violation#301 -Facility not maintained to minimize the release of a hazardous waste. <br /> e This violation was corrected ❑This violation will be corrected by(date): (C) r <br /> ;2'—Supporting documents included = 1 l 1 <br /> Describe actions taken or will be taken to correct violation: <br /> !-0 12 !�;Y 1,PJWV iJ" r.J(—A �NfJTo I b`f-9 1&R)) 1(9-5( <br /> Qrav nAt > [�94W H ML- 9VPdK)5 <br /> Page 2 of 4 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />