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b I Environmental Health Department <br /> WrCOUNTY <br /> Corrective Action Statement <br /> RE: October 21, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Jason Gaitan at(209)468-9848 or jgaitan@sigov.org. <br /> Facility name: TRACY NISSAN Submit completed form to: <br /> Facility address: 3195 NAGLEE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184689 ATTN:JASON GAITAN <br /> PR0528542 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation##118-Failed to keep copies of consolidated manifesting receipts for three years. <br /> ❑ This violation was corrected ❑This violation will be corrected by(date): <br /> ,0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 2 <br /> Rev.612712019 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />