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M � I � Environmental Health Department <br /> u <br /> '- -COUNTY— <br /> Greatness <br /> COUNT <br /> Greatness grows here, <br /> Corrective Action Statement <br /> RE: July 27, 2022, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Garrett Backus at(209)468-2986 or gbackus@sjgov.org. <br /> Facility name: O'Reilly Auto Parts#2567 Submit completed form to: <br /> Facility address: 1440 E Harding Way SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10401889 ATTN: GARRETT BACKUS <br /> PR0513836 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 /> 9 This violation was corrected ❑This violation will be corrected by(date): <br /> [Y Supporting documents included <br /> Describe actions taken or will be taken to correct violation: The manifests noted as missing have been <br /> acquired and provided to the store team on-site. See attached. <br /> Violation#112-Failed to make determination for land disposal. <br /> 9 This violation was corrected ❑This violation will be corrected by(date): <br /> [Y Supporting documents included <br /> Describe actions taken or will be taken to correct violation: The LDR notification forms were signed <br /> at point of service and have been provided to the store team to keep on-site. See attached. <br /> Violation#605-Failed to completely label containers or portable tanks of hazardous waste. <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: The 5 gallon bucket of brake shavings and <br /> 5 gallon bucket of aerosols have been properly labeled. See attached photos. <br /> The 5 gallon aerosol bucket was serviced and no longer has an accumulation date. <br /> Servicing documentation attached as well. <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 />