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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: July 16, 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'Reilly Auto Parts#3460 Submit completed form to: <br /> Facility address: 1210 N Tracy Blvd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10401901 ATTN: ELIANNA FLORIDO <br /> PR0514088 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failed to determine if a waste is 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: Please see attached return to compliance statement for <br /> each violation listed to include supporting documentation. <br /> Violation#110-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 be taken to correct violation: <br /> Violation#111 -Failed to comply with uniform hazardous waste manifest exception requirements. <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 /> Page 2 of 3 <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 />