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SANJOAgUIN Environmental Health Desf� rtment <br /> T Y <br /> Corrective Action Statement <br /> RE : March 26 , 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 Woldeareqay at (209) 468-0216 or stwoldearegay@sigov. orq . <br /> Facility name: WEST VALLEY AUTO SERVICE LLC Submit completed form to: <br /> Facility address: 2615 W GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184725 ATTN : SHEWIT WOLDEAREGAY <br /> PR0521537 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #202 - Failure to maintain the "Facility Employee Training Certificate" on-site (after October 1 , <br /> 2018 ). <br /> ®' " This violation was corrected ❑ This violation will be corrected by ( date) : <br /> C� Supporting documents included <br /> Describe actions taken or will be taken to correct violation : / <br /> f <br /> s <br /> 11 t �J� <br /> jj c� t d. 7e, s pb £S'1 le O Vme�ILSp (J X-- <br /> P J LZ 0 cf' � 04, A-, / J'' irk <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> ❑ This violation was corrected QThis violation will be corrected by (dat ) � � � rc� y/ "Tc .J <br /> ❑ Supporting documents included / <br /> Describe actions taken or will be taken to correct violation : (y. V)I )c Lff; 0jee{f ggh a VC� <br /> � ck4 , LrS Lvi '�G, <br /> lu 0LL) <br /> 42�&e ecj o113 )IJ Yi,311 <br /> ( 1 b2, 1 <br /> 02/3/* 3 3 <br /> i <br /> Rev. 8/27/2019 Page 2 of 2 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 7. 209468-3420 1 F 20946 -0138 1 www. sjcelid . com <br />