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Ta - ANJOAQU N Environmental Health Department <br /> Grcarness grows <br /> Corrective Action Statement <br /> RE: May 20, 2021, Hazardous Waste inspection report <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain data Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed for <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Frederick Ernest at (209) 616-3026 or fernest@sjgov.org. <br /> Facility name: Ross Roberts Truck Repair Inc Submit completed form to: <br /> Facility address: 641 S Harrison St SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10723408 ATTN: FREDERICK ERNEST <br /> PR0514497 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #102 - Failed to determine if a waste is a hazardous waste. <br /> 0ioThis 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 /> Violation #108 -Contingency plan is incomplete. <br /> This violation was corrected ❑ This violation will be corrected b (date): <br /> Supporting documents included y ( ) <br /> Describe actions taken or will be taken to correct violation: come <br /> Violation #114- Failed to keep signed copy of manifests from the designated facility 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 betaken to correct violation:_ VQ(X"-Vd O <br /> S*4Lwmi' Gpi ZL4 QI <br /> 0 � T <br /> Rev.911612020 Page 2 of 7 <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 />