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A,A*V—' 'k I " t a 2J. C <br /> s 9099 oN -&D :ti -INP <br /> A 8l '9 1 P2 na J a� <br /> k <br /> SAEnvironmental Health Department <br /> FEB 18 2021 <br /> Corrective Action Statement <br /> RE: January 25, 2021, Underground Storage Tank inspection report . T NTAL'HCSLTH <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 Wow 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)616-3049 or pnso c@sjgov_org. <br /> Facility name: RIPON SHELL" Submit completed form to: <br /> Facility address: 341 E MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS IDD 10181331 ATTN: PAUL NSO <br /> PR0231477 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 55205 <br /> Violation#122 -Failure to implement corrections and submit written response within 30 days of receiving the <br /> report <br /> B' 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 /> -ri-cC=c coT e h <br /> i M a P-P F7"T�� � A L- P, <br /> a D a �� T- �--a <br /> t�---N G,e; % G S T-f N G-r /v 6 A- 0 <br /> 9 <br /> ,� �� w �Q� � ^'►-C-- �--`� n c� at p15;:-0 <br /> M NbL4,M• '" �e <br /> Page 2 of 2 ■ <br /> Ro�•.9/982020 ■ ■ <br /> 1868 E. Hazelton Avenue Stockton, California 95205 I T 209 468-3420! F 209 46d-0138 1 vp.pA+.sjgov-org1EHD 0 ■ <br /> ■ <br /> ■ <br />