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SAN ! QA Q U 1 N Environmental Health Department <br /> �F CtYr <br /> Corrective Action Statement <br /> RE- March 30. 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 Retum to Compliance Certification within 30 days of inspection. If you have any questions. <br /> please contact Paul Nso at(2091468-3432 or pnso�slgov.orq <br /> Facility name THORNTON 76 Submit completed form to- <br /> Facility address 8606 THORNTON RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID 10180975 ATTN' PAUL NSO <br /> PR0232261 1868 E HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Violation#104 - UST operating permit application for facility and tank information not submitted or current. <br /> EJ This violation was corrected ❑ This violation will be corrected by {date): <br /> 3 Supporting documents included <br /> Describe actions taken or will be taken to correct violation We1 <br /> Violation#113- Failure to submit"Monitoring System Certification Form" within 30 days of completion of the <br /> test-- <br /> 313�This violation was corrected ❑ This violation will be corrected by (date): <br /> I&Y Supporting documents included <br /> Describe actions taken or wilt be taken to correct Violation: <br /> . - Mn►.1C _itJl �C'CEA--►. ]»5—I'D <br /> Page 2 of 3 <br /> Iver 64MAM <br /> 1868 E Hafellon Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 vtiww s1k.e. .1 t-om <br />