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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : September 01 , 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 : COX BROS TIRE SERVICE Submit completed form to: <br /> Facility address : 507 E ELEVENTH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10182823 ATTN : CAROL PRESTO <br /> PR0513945 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 /> J;r Supporting documents included y <br /> Describe actions/taken or will be taken to correct violation : J t o ca. y �JL. 0 GL e . t /I <br /> CJ ✓ LZ-t �-. t' 1 t' t �. zi� ? . , e` J �' : , c- C. `fit s �v �i ✓ , <br /> Violation #113 - Failed to keep copies of consolidated manifesting receipts 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 correct violation : <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 />