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SAN ) O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : November 05 , 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 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@sjgov, org. <br /> Facility name : STOCKTON AUTO CENTER CAR WASH Submit completed form to: <br /> Facility address : 3434 E HAMMER LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181303 ATTN : SHEWIT WOLDEAREGAY <br /> PR0232398 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #107 - Plot plan/site map not submitted or failed to completely show where monitoring Is <br /> performed. �1 <br /> 15� This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included n <br /> Describe actions taken or will be taken to correct violation : I! /� `' `� L S em t. q 'A46� c VV'e <br /> ct j wA G <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. —7 <br /> P' 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 : 21 c <br /> Ck U c .-� e, 1 <br /> Page 2 of 3 <br /> Rev. V27t2 9 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464 -0138 1 www. sjcehd . com <br />