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SAN J AOU N Environmental Health Department <br /> t N lV <br /> Corrective Action Statement <br /> RE: December 01, 2021, RCRA 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: FedEx Ground-Tracy Submit completed form to: <br /> Facility address: 5655 Hood Way SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10689070 ATTN: CAROL PRESTO <br /> PRO541208 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <br /> 11 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 /> This material was cleaned on the date of the inspection. It was collected and taken to the hazardous materials processing area for processing, <br /> but appears to have been inadvertently mistaken for trash and disposed of in the dumpster. Upon obtaining this information the station was <br /> reminded of the FXG hazardous policy and federal and state laws pertaining to hazardous waste in an effort to prevent this from occurring in <br /> the future. <br /> Violation#103-Failed to retain hazardous waste determination including waste analysis on site for 3 years. <br /> M This violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Oil/water separator profile has been attached. <br /> Violation#115-Failed to keep signed copy of manifests from the designated facility for three years. <br /> )91 This violation was corrected ❑This violation will be corrected by(date): <br /> IR Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Designated facility manifest copies are attached for all 80 manifests requested. <br /> Rev.9/16/2020 Page 2 of 5 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 4640138 1 www.sjgov.org/EHD <br />