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Environmental Health Department <br /> SAN -JOAQUIN <br /> Corrective Action Statement <br /> RE: December 29, 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. 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 Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: TRUCK LUBRICATION COMPANY Submit completed form to: <br /> Facility address: 523 W LARCH RD STE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10185125 ATTN:CAROL PRESTO <br /> 1868 E HAZELTON AVENUE <br /> PR0535902 STOCKTON,CA 95205 <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 corr t violation: CC 1 f <br /> 0 t;i-- <br /> Page 2 of 2 <br /> Rei Pn6i2020 <br /> 1868 E. Hazelton Avenue i Stockton,California 95205 i T 209 468-34201 F 209 464-0138 1 www.sjgov.org1EHD <br />