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SAN <br /> N J O A Q U I N Environmental Health Department <br /> N I - i,11 I Y IV <br /> Corrective Action Statement <br /> RE: October 22, 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 orjgaitan@sjgov.org. <br /> Facility name: Tesla Lathrop Submit completed form to: <br /> Facility address: 18260 S Harlan Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10504267 ATTN:JASON GAITAN <br /> PR0539415 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 <br /> Describe actions taken or will be taken to correct violation: Manifest 018339074JJK and 0065925886SKS were found in <br /> the Manifest storage binders on Tuesday October 22 2019. Pictures of the manifest in place were sent to the inspector u on the <br /> receipt of the inspection report. . <br /> Violation #115 -Failed to comply with uniform hazardous waste manifest exception requirements. <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: Manifest 011837279FLE and 0011837303FLE were obtained <br /> by pickupservice on October 24 2019. The manifest were sent to the inspector for review and were acce ted at that time. The <br /> missing manifests have been fried aoorooriately in storage binders. <br /> Violation #403 -Failed to keep hazardous waste containers closed except when adding or removing <br /> hazardous waste. <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: Appropriate lids were ordered per the violation outline and <br /> laceq_upon receipt on the identified hazardous waste containers. <br /> Page 2 of 2 <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 />