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SANJOANIN Environmental Health Department <br /> �}3 <br /> Corrective Action Statement <br /> RE: October 17, 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. <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 Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: TILBURY AUTO PARTS Submit completed form to: <br /> Facility address: 1730 JACKSON AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182895 ATTN: KRISTINA SAETERN <br /> PR0540901 1868 E HAZELTON AVENUE. <br /> STOCKTON,CA 95205 <br /> Violation#102-Failed to determine if a waste is a 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: m <br /> Violation#406-Empty hazardous waste or material container greater than 5 gallons not managed per this <br /> section. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included 11 ��^^ <br /> Describe actions taken or will be taken to correct violation: M QU� hCkkf <br /> Rev.9/16/2020 Page 2 of 2 <br /> 1868 E.Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ED <br />