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AN N 1 Q Q U N Environmental Health Department <br /> -COUNTY---- <br /> Greotness grovi5 here;. <br /> Corrective Action Statement <br /> RE: September 13, 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. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit tNs <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Lydia Baker at(209)468-8257 or Ibaker@sjgov.org. <br /> Facility name: Diesel Direct West. Submit completed form to: <br /> Facility address: 3861 DUCK CREEK CIR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10185131 ATTN: LYDIA BAKER <br /> PR0538508 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #110 -Failed to keep signed copy of manifests from the designated facility for three years. <br /> X This violation was corrected ❑This violation will be corrected by(date): <br /> K Supporting documents included <br /> Describe actions taken or will be taken to correct violation: +Z(Z C_ 2 JrZ D e.U r1 C 5 cit f4"t <br /> 51 CN lt,0 C a O v of IK A N r Es- S;5 E ;1 H A iML 4 FFAC RiO 7)1 -/b 7`7a 1-5 <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <br /> This violation was corrected ❑ This violation will be corrected by(date): <br /> I� Supporting documents included <br /> Describe actions taken or will be taken to correct violation: vi 0 .6"- P4 <br /> 0, f 6 2^ t S i! - +f; 'x5>' , I HJM /).i i A t yl fw /v`1 0I JYr . <br /> Violation#113-Failed to keep copies of consolidated manifesting receipts for three years. <br /> IN This violation was corrected ❑ This violation will be corrected by(date): <br /> R� Supporting documents included <br /> Describe actions taken or will be taken to correct violation I;? / rz/� l/-o C o-'/L.5 d X <br /> r(Yrj saL, D n to ,'re')14r 2,L c-1L� �j ; t �.��!2- s ..r T71 r:__ <br /> V 4 �+ .�-•til. r �.. . <br /> Page 2 of 3 <br /> Rev.812212019 <br /> 1868 E. Hazelton Avenue I Stockton: California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd com <br />