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SQ N _ �Q� U (N Environmental Health Department <br />0 kL.%" COUNTY <br />4:e �►Greatness grows ii ret. <br />Corrective Action Statement <br />RE: July 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 <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: JJ PATINOS BODY SHOP Submit completed form to: <br />Facility address: 540 N GRANT ST STE 27 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: none ATTN: CLAUDIA MURO <br />PRO544696 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation 4101 - 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 <br />Describe actions taken or will be taken to correct violation: <br />Violation #110 - 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: <br />Page 2 of 3 <br />Rev. 8/27/2019 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />