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11 �H�UlN Environmental Health Department <br /> r- —COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: August 30, 2021, 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. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Elianna Florido at(209)616-3050 or eflorido@sjgov.org. <br /> Facility name: O'Reilly Auto Parts#3222 Submit completed form to: <br /> Facility address: 1200 W Lathrop Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10401895 ATTN: ELIANNA FLORIDO <br /> PR0546771 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#119-Consolidated manifest receipts failed to contain complete information. <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: Please see attached manifests serving as <br /> supporting documenation of our return to compliance. <br /> Page 2 of 2 <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 />