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COMPLIANCE INFO_2021
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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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Entry Properties
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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SAN ) OAQU I N Environmental Health Department <br /> --- COUNTY <br /> ? jreaf.. ntr & S grows !teal <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 /> N 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 /> As a corrective action , I have been assigned to temporarily manage the DUSTO program in <br /> the place of the previous manager who is on leave at this time . <br /> Page 2 of 2 <br /> j Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468-3420 F 209 464 -0138 1 www. sjgov. org/EHD <br /> i <br />
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