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SAN J O A Q U I N Environmental Health Department <br /> r; - CQUNTY-- <br /> C;„ y Greatness gr�ow5 Frere. <br /> Corrective Action Statement <br /> RE: October 01, 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. 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 Jason Gaitan at(209)616-3036 orjgaitan@sjgov.org. <br /> Facility name: SUPERLUBE PLUS INC Submit completed form to: <br /> Facility address: 1170 LINCOLN BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10187655 ATTN: JASON GAITAN <br /> PR0535857 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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#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: <br /> Violation#117-Failed to maintain complete hazardous waste training records. <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 4 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />