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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231881
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COMPLIANCE INFO_2021
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Last modified
2/3/2022 4:34:32 PM
Creation date
1/19/2021 8:57:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231881
PE
2371
FACILITY_ID
FA0003946
FACILITY_NAME
AT&T California - UG010
STREET_NUMBER
1812
STREET_NAME
COLEY
STREET_TYPE
Ave
City
Escalon
Zip
95320
APN
22715414
CURRENT_STATUS
01
SITE_LOCATION
1812 Coley Ave
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SKJOAQUIN Environmental Health Department <br /> . � . <br /> —COU NTY- <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: January 06, 2021, 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) 616-3049 or pnso@sjgov.org. <br /> Facility name: AT&T California - UG010 Submit completed form to: <br /> Facility address: 1812 Coley Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181541 ATTN: PAUL NSO <br /> PR0231881 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#208 - Failure to comply with the designated operator inspection requirements. <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 2 of 2 <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 />
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