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AN JOAQUIN Environmental Health Department <br /> 0 U Iii 11 y <br /> Corrective Action Statement <br /> RE: October 10, 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 Christine Lawrence at(209)468-3562 or clawrence@sjgov.org. <br /> Facility name: CERTIFIED COLLISION CENTER Submit completed form to: <br /> Facility address: 2073 E YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184431 ATTN: CHRISTINE LAWRENCE <br /> PR0518892 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> his violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> p i <br /> Describe actions taken or will be taken to correct violation: <br /> Now <br /> p nt r...ca.�1c roc <br /> 1.,p rA j c, Vv--V O : � .sem :�c�� \ t-Z 't� • <br /> gb <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <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 /> i� <br /> h <br /> Rev.8/27/2019 Page 2 of 2 <br /> 1868 E.Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />