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S A J D A I Environmental Health Department <br /> —COUNTY <br /> Greatness grows hp,e. <br /> Corrective Action Statement <br /> RE: November 15, 2019, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Paul Nso at (209)468-3432 or pnso@sjgov.org. <br /> KISHIDA, GEORGE INC, 1725 ACKERMAN DR, CERS ID: 10181383, PR0231309 <br /> Violation#201 - Failure to maintain monitoring, maintenance, and follow up action records. <br /> ❑ 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: <br /> Violation#301 - UST system is not operated to prevent unauthorized release, including spills and overfills. <br /> ❑ 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: <br /> Violation#320 - Failure to comply with the installation, inspection, or record keeping of the overfill <br /> prevention. <br /> ❑ 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: <br /> Page 3 of 3 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />