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SA JA 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 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 igaitanpsjgov.org. <br /> Facility name: UTILITY TRAILER SALES Submit completed form to: <br /> Facility address: 12608 S HARLAN R❑ SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10185453 ATTN:JASON GAITAN <br /> PRO528652 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 4102-Failed to determine if a waste is a hazardous waste. <br /> Id 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#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> ❑ This violation was corrected El 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 ❑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.M712019 <br /> 1868 E. Hazelton Avenue i Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.Sjcehd.corn <br />