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Environmental Health Department <br /> SAN JOAQUIN <br /> Corrective Action Statement <br /> RE: July 27, 2021, Hazardous Waste inspection report <br /> For each violation listed below,indicate if the violation has been corrected or will be corrected b 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 Vicky Vang-Lee at(209)616-3028 or Wang-lee@sigov.org. <br /> Facility name: KETTLEMAN CHEVRON Submit completed foi Ini to: <br /> Facility address: 601 E KETTLEMAN LN sic ENVIRONMEN�IAL HEALTH DEPARTMENT <br /> ATTN:VICKY VAN(41LEE <br /> CERS ID: 10181435 1868 E HAZELTON AVENUE <br /> PRO518102 STOCKTON, CA 95205 <br /> Violation#103-Failed to retain hazardous waste determination including waste analysis ori site for 3 years. <br /> ❑ 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 /> m L� <br /> Violation#301 -Facility not maintained to minimize the release of a hazardous waste. <br /> ❑ 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 /> ley <br /> Page 2 of 2 <br /> Rev.9/16/2020 <br /> 1868 E.Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 46 10138 1 www.sjgov.org/EHD <br />