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vN��'' 1 <br /> Environmental it Department <br /> Fes` m...u..- . OUNT - <br /> Corrective Action Statement <br /> RE: October 17, 2022, 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 Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: TILBURY AUTO PARTS Submit completed form to: <br /> Facility address: 1730 JACKSON AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182895 ATTN: KRISTINA SAETERN <br /> PR0546796 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#119-Consolidated manifest receipts failed to contain complete information. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> Supporting documents included p.,o�, �^ <br /> Describe actions taken or will be taken to correct violation: �ki� � �� 1 \J -DA6kA 1 1 n <br /> Violation#301 -Facility not maintained to minimize the release of a hazardous waste. <br /> / his violation was corrected [3This violation will be corrected by(date): <br /> Supporting documents included <br /> Describe actions taken <br /> or will be taken to correct violation: <br /> Violation#401 -Failed to store hazardous waste in a container that is in good condition. <br /> WThis 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 4 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue J Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />