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SQN9� OQQUIN Environmental Health Department <br /> COUNTY <br /> . •,I � rr , i �N I „ _ u ; n .. > > ,.J Ir ,, , liar ,,, <br /> Corrective Action Statement <br /> RE: January 24, 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. 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 /> Shewit Woldearegay at (209) 468-0216 or stwoldearegay@lsjgov.crq. <br /> Facility name: TRACY USD - SERVICE CENTER Submit completed form to: <br /> Facility address: 1975 W LOWELLAVE SJc ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181579 ATTN: SHEWIT WOLDEAREGAY <br /> PRO232521 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #124 - "Overfill Prevention Equipment Inspection Report Form" not submitted within 30 days of <br /> inspection. <br /> VO 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: Tracy Unified Schnnl nictrirt has <br /> communicated this requirement to nur dpsignatpd n Pn .rator Raglpg Entar nn CPC Whn <br /> acknowledged this reguirempnt will he mat for all fuhmp in pentionC <br /> Violation #202 - Failure to maintain the "Facility Employee Training Certificate" on-site (after October 1 , <br /> 2018), <br /> If 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: Tracy Unified School District has <br /> communicated this requirement to our designated operator RagleyFntprpriCPC who <br /> acknowledged this requirement will be met on our future trajning documentation <br /> Page 2 of 3 <br /> Rev. 0/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468.3420 I F 209 484-0138 1 www.sjcehd.com <br />