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SAN 10A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: September 17, 2019, Hazardous Waste inspection report <br /> For each violation listed below,indicate if the violation has been corrected orwill be comected 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 CelUficstion within 30 days of inspection. If you have any questions,please contact <br /> Jason Gallen at(209)468-9648 or igaitan@sigov.org. <br /> Facility name: UTILITY TRAILER SALES Submit completed form to: <br /> Facilityaddress: 12608 S HARLAN RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10185053 ATTN:JASON GAITAN <br /> PR0528652 1868 E HAZELTON AVENUE <br /> STOCKfON,CA 95205 <br /> Violation#102-Failed to determine if a waste is a hazardous waste. <br /> ❑ This violation was corrected 0 This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken orwill be taken to correct violation: <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> ❑ This violation was corrected 0 This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#113-Failed to keep copies of consolidated manifesting receipts for three years. <br /> This violation was corrected 0 This violation will be corrected by(date): <br /> .a Supporting documents Included <br /> Describe actions taken or will be taken to correct violation: 4e%l�e of ad <br /> ty 'des k n/7KJ yo � 4Q rn Lir K Lf e-y\ <br /> i <br /> amams Page 2 of 4 <br /> 1868 E.Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />