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- aSAKJOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatnessrowx here. <br /> Corrective Action Statement <br /> RE: September 15,2020, 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 Returnto Compliance Certification within 30 days of inspection. If you have any questions,please contact <br /> Jason Gallen at(209)468-3420 or jgaftan@sjgov.org. <br /> Facility name: ADESA GOLDEN GATE <br /> Facility address: 18501'W STANFORD RD Submit completed form to: <br /> CERS ID: 10184523 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> ATTN:JASON GAITAN <br /> PR0518228 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> agencies. <br /> Violation#108-Failed to maintain a hazardous waste contingency plan onsite and submit to required <br /> This violation was corrected 17 This violation will be corrects <br /> 3K Supporting documents included d by(dab): <br /> Describe actions taken or will be taken to correct violation: �-- -� <br /> N r vel <br /> Violation#114-Failed to keep signed copy of manifests from the designated facility for three years, <br /> XThis violation was corrected 0 This violation will be corrected by(date): <br /> V.$upporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Cne) 11 ? I 1 Z o e Y-T-h Q <br /> Violation#117-Failed to maintain completR hazardous waste tretnina records. ' <br /> 13 This violation was corrected `This violation will be corrected by(date): ©10 <br /> b<$upportlng documents included <br /> Describe actions taken or will be taken to cg1rect violation: <br /> 1`4 Qtbce% <br /> �SCVa�i�a� <br /> Rev.eilenpso Page 2 of 5 <br /> 1868 E.Hazelton Avenue I Stockton,Califomia 952051 T 209 468-34201 F 209 464-0138 1 www.sigov.org/EHD <br />