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SA_N��OAQUfN Environmental Healt Fl Department <br /> ._ Gragtn�ss gro+vc here. <br /> Corrective Action Statement <br /> RE: September 27. 202'1, Hazartlous Waste inspactlon report <br /> For eacb v olatlon Ilst¢d blow, indicate If[ba ylolation bas bean c rractad o will b¢c acted by a ¢main da[¢. <br /> Also,desorlb¢what w s done to c act the violation in tba space provided below eacb vlola0on. Submit tM1is <br /> mpl¢t¢d Torm with tba Ra[um to Coinplianca Carttficatlon within 30 days of inspection. IT you bava any gvastlona, <br /> please contact Paul Nso.at(209)B'16-3049 or pnao(e�s)gov.org_ <br /> Facility name: JIFFY LUBE#596 Submit compl¢t¢d foFm Yo: <br /> Facility address: ll3O N MAIN 3T SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS In: 10t B'1367 A'1'TN:PAUL N5O <br /> PR0514050 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 96206 <br /> Violation ffi114-Fall¢d to Keap signed copy of manitasta from iha tlaalgnafad facll@y for<hr¢¢y¢ara. <br /> '� This violation wac rraatatl 0 Tnls vlolafion Will Ga corr¢otad by(data]: <br /> '�] Supporting tlooumants inoludad <br /> oascrm¢aonona talion or wm b¢taKan to correct vioia0on: PL4 Prs 4 5 F 8 f}liR�H T D <br /> v:olagon ut 1 e-Fabaa to K¢¢p copies of¢anacnaama man:faaaaa rec¢lpta for[brae y¢are. <br /> `� This vlola[lon was ta¢t¢tl O Thla vlola[ioe will b¢oorr¢ot¢d by(dais): <br /> lA Supporting docum¢nta Inoludad <br /> o¢scriba actions taKan or will ba taKan to correct viola(lon: P��t+t-54 54f �}"'1�h`�'N � <br /> Vlolagon#207-Fallura to properly manage reusable SOII¢d T¢xtila matartala_ <br /> '� This violation was r¢otad 0 TM1is violaxlon will ba oorrac[ad by(data): <br /> �� 3uppor[in9 doovm¢nts Included <br /> Describe actions taKen or will ba[aK¢n to correct violatlon: PL4 SS S'ElL �T�«i�� <br /> Page 2 of 4 <br /> aw-v.+sraoxo T66H E Hazelton Avanua I StocKton, Califomla 95206 I T 209 468)420 F 209 464-0138 I ww. -sjgov.org/EHC <br />