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i <br /> i <br /> Environmental Health Department <br /> ANAM <br /> -9:01N. <br /> - VINT.y <br /> is <br /> Corrective Action Statement <br /> RE: June 23, 2020, Hazardous Waste inspection report E <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 /> i <br /> contact Garrett Backus at(209)468-2986 or gbackus@sjgov.org. '. <br /> Facility name: PENNY NEWMAN GRAIN Submit completed form to: <br /> Facility address: 1805 HARBOR RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182497 ATTN: GARRETT BACKUS <br /> PR0539008 1868 E HAZELTON AVENUE u <br /> STOCKTON, CA 95205 <br /> l <br /> Violation#113-Failed to keep copies of consolidated manifesting receipts for three years. <br /> _ f <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> P( Supporting documents included II <br /> Describe actions taken or will betaken to correct violation: <br /> V Cis r• � <br /> c�Cu�.•�s �-Y vx ' a+ l -��t� ��,5 a t�„ Sol-4s In in t �•d� '�!� <br /> ,eer C' r ri�"p <br /> Violation#608-Failed to properly manage used oil and fuel filters. I <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> Supporting documents included <br /> i; <br /> Describe actions taken or will betaken to correct violation: Se-- <br /> 5 <br /> u5 ery i �� 1r-�er 1 �. rs►�-•s <br /> all $ -l l�'d-s 9 16e*__ r F rlok v DG <br /> 3 r e— V <br /> I <br /> E <br /> r <br /> is <br /> Page 2 of 2I <br /> Rev.812112019 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com h <br /> I'I <br /> �I <br /> I'. <br />