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i <br /> SAN JOAQUIN rUv "B010IQ6nc(,si"tt:al c "� ea 'K a Departs'B1eU11: <br /> - COUt�ITY' -- <br /> .. - qr ' �� rrwtrrr' S5 4fU1rc �tc' rC. <br /> Corrective Action Statement <br /> RE : December 17 , 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. <br /> Also , describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Paul Nso at (209 ) 468 -3432 or pnso@sjgov . org . <br /> Facility name : GRUPE COMMERCIAL COMPANY HANGER # Submit completed form to : <br /> Facility address : 5000 S LINDBERGH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181293 ATTN : PAUL NSO <br /> PR0232417 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> I <br /> Violation #118 - Failure to submit the " Underground Storage Tank Statement of Understanding and <br /> Compliance Form " . <br /> 12/This violation was corrected ❑ This violation will be corrected by ( date) . <br /> E Supporting documents included <br /> Describe actions taken or will be taken to correct violation :Midi <br /> i <br /> Violation # 124 - "Overfill Prevention Equipment Inspection Report Form " not submitted within 30 days of <br /> inspection . <br /> 0ct, This violation was corrected ❑ This violation will be corrected by ( date ) : <br /> [B / Supporting documents included <br /> Describe actions taken or will be taken to correct violatio <br /> 'rl:n%+� ►�� <br /> Page 2 of 3 <br /> Rev. 8/2712019 <br /> 1868 E . Hazelton Avenue ( Stockton , California 95205 T 209 468 - 3420 F 209 464 - 0138 1 www . sjcelid . com <br />