Laserfiche WebLink
Violation #107 - Failure to submit and maintain complete and current financial responsibility documents. <br />osiq 2--0 2- 1 tg This violation was corrected 0 This violation will be corrected by (date): <br />0 Supporting documents included <br />Describe actions taken or will be taken to correct violation: 1.4 c-c-J, cl • <br />SAN JOAQUIN <br />COUNTY— <br />Greatness grows - <br />Environmental Health Department <br />Corrective Action Statement <br />RE: March 31, 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 Vicky yang-Lee at (209) 616-3028 or wang-lee@sjgov.org. <br />Facility name: SHELL 1-5 Submit completed form to: <br />Facility address: 717 W EIGHTH ST <br /> SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10184915 <br /> ATTN: VICKY VANG-LEE <br />PRO522448 <br /> 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #115 - Failure to submit "Monitoring System Certification Form" within 30 days of completion of the <br />test. <br />ip This violation was corrected 4This violation will be corrected by (date): <br />1 <br />14/ j <br />4 Supporting documents included <br />Describe actions taken or will be taken to correct violation: 44-446k.cit‘_./ /'5 Lk-- <br />Violation #116 - Failure to submit the "Spill Container Testing Report Form" within 30 days. <br />-2--1 <br />pi This violation was corrected <br />17, Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />' /Qv' + • <br />A <br />This violation will be corrected by (date): <br />Page 2 of 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD