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Environmental Health Department <br />Corrective Action Statement <br />RE: September 13, 2024, 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Michael Suszycki at (209) 598-7001 or msuszycki@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: MICHAEL SUSZYCKI <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to: <br />10184137 <br />3632 DUCK CREEK DR BLDG F <br />RYDER TRUCK RENTAL #1071 B <br />PR0529343 <br />Violation #6 - 3010010 - Signed copy of Uniform Hazardous Waste Manifest kept 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 />Violation #23 - 3030007 - Labeled all containers or portable tanks containing 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 />Violation #29 - 3030058 - Empty containers > 5 gallons properly managed. <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 | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />X <br />Action Statement response for Ryder 1071 location <br />Missing manifests provided with Corrective <br />X <br />Photo documention is provided <br />X <br />Photo documention is provided