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SAN J O A Q U I N Environmental Health Department <br /> r; - COU NTY-- <br /> C;„ y Gareatn+ess grows Frere. <br /> Corrective Action Statement <br /> RE: August 11, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: QUIK STOP MARKET#138 Submit completed form to: <br /> Facility address: 1153 LINCOLN BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181059 ATTN: CAROL PRESTO <br /> PR0521536 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> 121 This violation was corrected ❑This violation will be corrected by(date): <br /> IX Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Manifests for the last 3 years were sent to the site and will be maintained in the Hazardous Material Binder <br /> onsite for the required amount of time. Future manifests will also be maintained onsite for the required <br /> amount of time. Manifests are attached. <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 209 464-0138 1 www.sjgov.org/EHD <br />