Laserfiche WebLink
Apr 09 2019 09; 12 HP Fax page 3 <br /> °f Environmental Health Department <br /> Corrective Action Statement <br /> RE ; December 09 , 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(c)sigov . orq . <br /> Facility name : LATHROP GAS & FOOD INC Submit completed form to : <br /> Facility address : 140 E LATHROP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10182153 ATTN : SHEWIT WOLDEAREGAY <br /> PRO505687 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. / <br /> 11 This violation was corrected 9This violation will be corrected by (date) : I ? I Lg <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : � � �/� SJ V1/N01 Ltn 6v`U� ( o agoj <br /> T <br /> Violation #211 - No employee present that were trained in the operation and maintenance of the UST system <br /> by a DO . <br /> ❑ This violation was corrected dJhis violation will be corrected by (date) : r 0,1"1 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : �� <br /> oi'kf ��, i S� K � t�, �► s not✓ �e eon �C for DP�ia �^ � �rhG�a�e <br /> in r <br /> US�( fT— <br /> M <br /> Rev. 8/27/2019 Page 2 of 2 <br /> i QR0 c y ' A ,e .- - C � ' r r c 205 1 T 209 468- 342C F 209 464- 0138 <br /> ReceIVed Time Dec : 11 . 201 ) ` 7 . » ANr' No : X11 ) I 1 rvww . sjcehd. com <br />