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SAN J O A Q U I N Environmental Health Department <br />r; - COU NTY-- <br />C Greatness gr�ow5 Frere. <br />Corrective Action Statement <br />RE: December 12, 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. 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 Claudia Muro at (209) 468-3429 or cmuro@sjgov.org. <br />Facility name: JIFFY LUBE #2322 Submit completed form to: <br />Facility address: 500 E KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10183993 ATTN: CLAUDIA MURO <br />PR0514476 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #109 - Failed to maintain a hazardous waste contingency plan onsite and submit to required <br />agencies. <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 />Violation #120 - Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 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 />Violation #304 - Failed to maintain adequate aisle space for unobstructed response to emergencies. <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 4 <br />Rev. 8/27/2019 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />