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SAN J O A Q U I N Environmental Health Department <br /> C �i� lJ 1`� I I Y <br /> Corrective Action Statement <br /> RE : October 28 , 2019 , 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 Lydia Baker at (209 ) 468-8257 or ( baker@sjgov . org . <br /> Facility name : GILS AUTO REPAIR Submit completed form to : <br /> Facility address : 820 N UNION ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : none ATTN : LYDIA BAKER <br /> PR0544982 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #101 - Managed a hazardous waste without an identification number . <br /> This violation was corrected / This violation will be corrected by ( date ) : ol 13 () 10'= <br /> ❑ Supporting documents included <br /> Describe actions takenorwill be taken to correct violation : <br /> M 2 a p p i Gt' Lor a� /N 'l jz.nil i �i c.G( '1'l D n Vlu v n 60Gv 0 r► 4 [['tc <br /> 23 � NJ <br /> 0ao <br /> Violation #102 - Failed to determine if a waste is a hazardous waste . <br /> XThis violation was corrected ❑ This violation will be corrected by ( date ) : <br /> ❑ Supporting documents included II <br /> Describe actions taken or will betaken to correct violatiom"Me rDAjr c_ 1 kA-e1S 'C. krAm otvae k h <br /> L(Cl � � lvG l .) � ✓ � a V640j d C6V /P.[" IL1 ► 14 Awe 1 Y1e � G� V1 � <br /> voo <br /> dip +ke' w, a wa5i-c . <br /> Violation #106 - Failed to train employees on waste handling and emergency procedures .. <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 /> IIIe n F�4-c...Aeia l -� H� ` I �ctSo c }c, z� ►•o�00s Wasp we �ay>�IaQ �„n-� <br /> C !'�c� ✓ C/ . Oq N OV{wn �,� � � , ZO �. � �s I � U � ( . -EA G1/1 n-� ,• So ✓1 <br /> VP -Pc ei V-ICa4 a C'0! rj j k rQjt � � .� G1c. Gvek i -4 S 'tkPevv. % <br /> Page 2 of 3 <br /> Rev, 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 F 209 464 -0138 1 www . sjcehd . com <br />