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VteCENED <br /> onmental Health Department <br /> SAN _1 O A Q U I N � IviRONMFNTAL r . <br /> c 0 a l`\l r Y f N 0ppARTMENIT <br /> Corrective Action Statement <br /> RE : March 06 , 2020 , Underground Storage Tank 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 Paul Nso at ( 209 ) 468-3432 or pnso@sjgov . org . <br /> Facility name : VILLAGE WEST MARINA Submit completed form to: <br /> Facility address : 6649 EMBARCADERO DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181463 ATTN : PAUL NSO1868 E HAZELTON AVENUE <br /> PR0231098 STOCKTON , CA 95205 <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date ) : <br /> t" Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2 of 2 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue i Stockton , California 95205 T 209 468 - 3420 ( F 209 464- 0138 www . sjceh . com <br />