Laserfiche WebLink
Environmental Health Department <br /> r SAN .� •JIAQUIN <br /> _ _ CO JNTY . . _ <br /> �.. -�°� <br /> '' `�r; +�n „� , , . Glc © ties , irr� r•, s 11i• rt� . <br /> Corrective Action Statement <br /> F E : November 01 , 2019 , Underground Storage Tank inspection report <br /> For each violation lista I below, indicate if tiie violation has been corrected or will be corrected by a certain date . Also , <br /> describe what was doo .1 to correct the violation in the space provided below each violation . Submit this completed form <br /> with the Return to Corr oliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Shewit WoldearegaV a (209 ) 468-0216 or stwoldearegay(7a• sigov. orq . <br /> Facility name : TRACY MARKET INC Submit completed form to : <br /> Facility address : 15 FGRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181019 ATTN : SHEWIT WOLDEAREGAY <br /> PF , 2. 31404 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #201 - Failur a to maintain monitoring , maintenance , and follow up action records . <br /> �( This violatior was corrected ❑ This violation will be corrected by (date ) : <br /> Supporting < 1 murnents included <br /> Describe actions I rken or will be taken to correct violation : %h2 ,2 C0 6 \ef f, 5ebeprl ], 'c/>7 Ten <br /> ondSc' Tenf4 icoca , 6v e <br /> r t > 1 o <br /> .dS 4A mat e <br /> Violation #204 - Curna it monitoring plan approved by the EHD not found on site . <br /> This violatior was corrected ❑ This violation will be corrected by (date ) : <br /> ❑ Supporting d muments Included <br /> Describe actions I ikon or will be taken to correct violation : ct , y 11 , 0 y +� <br /> V C <br /> Violation #209 - Failur ; to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> This violatior was corrected ❑ This violation will be corrected by (date ) : <br /> ❑ Supporting dPicuments Included <br /> Describe actions I iken or will be taken to correct violation : 1J :f V, 0 / C <br /> � e�) r) e Q e , <br /> e In •y+ a f NUm <br /> s 'r � u � ! P <br /> Page 2 of 3 <br /> Rrev. ft/Z %/2010 <br /> 1868 E , Hazelif i Avenue Stockton , Californla 95205 T 209 468- 3420 F 209 464 -0138 www. sjcehd ,corn <br />