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SAN.. �QQU � N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: October 26, 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 or jgaitan@sjgov.org. <br /> Facility name: Old Dominion Freight Line-Stockton Submit completed form to: <br /> Facility address: 601 DARCY PKWY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10739470 ATTN:JASON GAITAN <br /> PRO528650 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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: IfZ <br /> u '- <br /> Page 2 of 2 <br /> Rev.9116!2020 <br /> 1868 E. Hazelton Avenue J Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHO <br />