Laserfiche WebLink
i <br /> SP U Enviro mental Health Department <br /> ,T Y , I <br /> C� rrective Action Statement <br /> RE: September 16, 2020, Underground Storage Tank inspection ieport <br /> For each violation listed below, indicate if i ie violation has been corrected or will be corrected by a ertain date. Also, <br /> describ what wa done to correct the vio0 tion in the space provided below each violation. Submit his completed <br /> form witthre Return to Compliance Cerffi ation within 30 days of inspection. If you Have any questons, please <br /> contact Carol Presto at(209)616-3061 ori presto@sjgov.org. <br /> Facility name: SHORT STOP FOOD , i <br /> ART Submit completed form t : <br /> Facility4ddress: 20 W TURNER RD#A SJC ENVIRONMENTAL 1EALTH DEPARTMENT <br /> CERS ID: 10180633 ATTN: CAROL PRESTO <br /> PR0231380 1868 E HAZELTON AVENUE <br /> STOCKTO,N, CA 95205 <br /> Violation#104-Failed to have an approv Id UST monitoring plan. <br /> Vi This vi oli tion was corrected ❑This violation will be corrected�by (date): <br /> ❑ Supporti g documents include <br /> Des ribe acti s taken or will be taken to correct violation: <br /> 41rkx�r U17,2s } <br /> Violatiorj#107-Failure to submit and mairitain complete and current financial responsibility documents. <br /> ISK"' his viola ion was corrected ❑This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actioi is taken or will be taken. o correct violation: G Q SNV <br /> 1 <br /> I <br /> Violation#203-Fa lure to maintain monitc,ring,maintenance,and follow up action records. <br /> 121"' This violation was corrected ❑This violation will be corrected by(date): _ <br /> ❑ upportini documents included <br /> Describe actin s taken or will be taken to correct <br /> violation: <br /> S � 1 <br /> Rev.9116/2020Page 2 of 3 <br /> I <br /> 186 E. Hazef n Avenue I Stockton,d alifornia 95205 I T 209 468-3420 1 F 209 464-0138 1 w.sjgov.org/EHD <br />