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S A . O A O I N Environmental Health Department <br /> _c Ua\1, Y <br /> Corrective Action Statement <br /> RE: October 31, 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: MATTHEWS FARMING Submit completed form to: <br /> Facility address: 8440 N DEMARTINI LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10186105 ATTN: CHRISTINE LAWRENCE <br /> PR0529534 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#101 -Managed a hazardous waste without an identification number. <br /> JI& This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included r� <br /> Describe actions taken or will be taken to correct violation: EPA i1Ary\�C��f— r'P, <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: p14A LO I L-1 �q COY' p <br /> t L L lJ�. 1 l J s <br /> Please describe any action you took in order to obtain records. If unable explain why. <br /> Violation#608-Failed to properly manage used oil and fuel filters. <br /> V1 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 /> e rtA <br /> Please describe any action you took in order to obtain records. If unable explain why. <br /> Page 2 of 2 <br /> Rev.8127/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0136 1 www.sjcehd.com <br />