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Environmental Health Department <br /> SAN 10AQUIN <br /> CC�) UNTY <br /> Corrective Action Statement <br /> RE : October 27 , 2020 , 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 Shewit Woldearegay at (209) 616-3063 or stwoldearegay@sjgov. org . <br /> Facility name: H &S Energy Products ,#3034 Submit completed form to : <br /> Facility address : 1434 W Yosemite Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10169781 ATTN : SHEWIT WOLDEAREGAY <br /> PR0231465 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Viola-tion #104 - Failure to have an approved UST Monitoring Pian . <br /> io <br /> !$ This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents Included / <br /> Describe actions tak n or will be taken to correct violation : r <br /> _ 64� <br /> Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months . <br /> VVhis violation was corrected ❑ This violation will be corrected by (date) : <br /> l supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation #205 - Failure to have current UST Monitoring Plan readily accessible at the facility. <br /> VThis 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 /> CSS <br /> 1 <br /> Page 2 of 3 <br /> Rev, 9/16/2020 <br /> 1868 E . Hazelton Avenue i Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov. org/ EHD <br />