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S A J D A I Environmental Health Department <br /> —COUNTY <br /> r4.x.. reatness grows herr. <br /> Corrective Action Statement <br /> RE: November 19, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br /> MARCH AND BIANCHI INC, 1916 E MARCH LN, CERS ID: 10186995, PR0527728 <br /> Violation#107- Failure to submit and maintain complete and current financial responsibility documents. <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 /> Violation#108- Failure to implement or maintain a written agreement between the UST owner and operator. <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 /> Violation#109- Failure to submit "Designated Underground Storage Tank Operator Identification Form" <br /> within 30 days. <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 /> Page 3 of 6 <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 />