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SAN 10 AQ U I N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE : September 16 , 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 /> A TEICHERT & SON INC * , 120 FRANK WEST CIR, CERS ID : 10184157 , PRO515365 <br /> Violation # 118 - Failure to submit the " Underground Storage Tank Statement of Understanding and <br /> Compliance Form" . <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 /> q - ( dpl �° <br /> Violation # 121 - Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <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 : k S wjct on <br /> jaOs <br /> p P - <br /> rot) / i q CIl�� G <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 c rrect violation : <br /> cAP I 0, 110 j <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 />