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Environmental Health Department <br /> SAN.zd0AQlIN <br /> Corrective Action Statement <br /> RE: November 04, 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 Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Jason Gaitan at(209)616-3036 orjgaitan@sjgov.org. <br /> Facility name: TRACY NISSAN Submit completed form to: <br /> Facility address: 3195 NAGLEE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184689 ATTN: JASON GAITAN <br /> PRO528542 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#301 -Facility not maintained to minimize the release of a hazardous waste. <br /> ,21"'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: C1�t'i C2r'I �'f lts?yA rhe 0/'l fyynP e <br /> �b o11 a 1'9/401d 4L o�_/_ e4 76 SIP wj{ /4 be 1, &VII 1Yo <br /> D � � ` 0.(1a � <br /> 0,e �,70 ,'fly! < Rewd(-e :207- s -rd,- W Oi/ (,u?- 'r C4-ee <br /> 1�1��� or��.e m�rc�e � B=�-�kc �l�u,�,� �f�c� ✓c��e� 'fizz <br /> Violation#601 -Stored hazardous waste on site longer than 90 days without a permit or authorization. <br /> •IrThis 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 /> 5 --Po-- 1?7v f�Ia✓r�r'hGw ''k, <br /> 'M i=-,e'er 5,41 dfg��- %'Cfc'v <br /> Violation#710-UWH failed to keep complete records of each shipment of universal waste for three years, <br /> ,2' 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 /> 44 <br /> Page 2 of 3 <br /> Rev.9I1e=26 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />