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SAN 10 A Q U I N Environmental Health Department <br /> C O LJ NIT Y <br /> Corrective Action Statement <br /> RE : August 14 , 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 : LALOS BODY SHOP Submit completed form to: <br /> Facility address : 540 N GRANT ST STE 24 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10825126 ATTN : CLAUDIA MURO <br /> PR0523265 1868 E HAZELTON AVENUE <br /> i STOCKTON , CA 95205 <br /> Violation #110Failed to keep signed copy of manifests from the designated facility for three years . <br /> [Y' 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 : A3 C. v\ c� . � ,, )�['��• Y ; ., � 5 C� <br /> AVS ii.)(1'� r .1� V, �11c.� vv,� rT� ct4_�1G �� r �, ^ •. ! ' <br /> (A 1� i�.l r . I w , k 1 k �> ,� C� A:, I` (A 1 r 0 . ��� ! -x r <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 /> Violation #119 - Failed to report program data in the California Environmental Reporting System ( CERS) . <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. 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 1 F 209 464 -0138 1 www . sjcehd . com <br />