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c°rll ,O�nlll� Environmental Health Department <br /> N <br /> r til U <br /> Y <br /> !L.IrCOUNTY <br /> Greotness grows here, <br /> Corrective Action Statement <br /> RE: June 14, 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 date. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Elianna Florido at(209)616-3050 or eflorido@sjgov.org. <br /> Facility name: O'REILY AUTO PARTS#3020 Submit completed form to: <br /> Facility address: 309 W DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10401892 ATTN: ELIANNA FLORIDO <br /> PR0546770 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#114-Failed to keep signed copy of manifests from the designated facility for three years. <br /> V This violation was corrected ❑This violation will be corrected by(date): <br /> E2( Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> The requested manifest 007180586SKS has been attached. <br /> Violation#115-Failed to comply with uniform hazardous waste manifest exception requirements. <br /> 152( 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 /> See above. <br /> Violation#118-Failed to keep copies of consolidated manifesting receipts for three years. <br /> Rr This violation was corrected ❑This violation will be corrected by(date): <br /> Ed Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Manifests from the past three years have been sent to the store and team has been coached on the <br /> importance of manifest tracking. <br /> Page 2 of 4 <br /> Rev.9/16/2020 <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 />