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89Z981N Wd88 0 0 06 iZ'daS aWII paAiaaa� <br />l SA l I NEnvironmental Health Department <br />�.., :r.. <br />U C O.U.N <br />. <br />c''r:;rc, ". Gr.6at»ess Gro•r;s ,dere. <br />Corrective Action Statement <br />RE: August 05, 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 />Claudia Muro at (209) 468-3429 or cmuro@s)gov.org_ <br />Facility name; WEST LANE BRAKE &TUNE Submit completed form to: <br />Facility address: 8129 N WEST LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10184255 ATTN: CLAUDIA MURO <br />PR0539860 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />violation #141 - Managed a hazardous waste without an Identification number. <br />D This violation was corrected <br />❑ Supporting documents included <br />®'This violation will be oorreCted by (date): <br />Describe actions taken or will be taken to correct violation: <br />Violation #102 -Failed to determine Ii a wast® is a hazardous waste: <br />❑ this violation was corrected <br />I� Supporting documents included <br />actions taken <br />or�will bf taken to <br />(�ilrh;s violation will be <br />correct®di by (data): <br />violation:' <br />Violation #193 -Failed to ke®p copies of consolidated manlf®sting receipts for three years. <br />❑ This violation was corrected his .violation will <br />Rev. 8110/2020 <br />a <br />be corrected by (date): <br />❑ Supporting documents included <br />heA <br />)ascribe actions taken or will be taken to correct violation: <br />I L r I t <br />Pages 2 of 4 <br />1868 E. Haze(tan Avenue i Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.$)gov.orglEHD <br />h0/i✓0 3DVd IJJf113Vd83NcI1SIiA t?8588Lh64G It' Jb'£h:60 NOZ,`i✓6, 60 <br />