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S AN JOA Q U I N Environmental Health Department <br />COUNIY <br />Corrective Action Statement <br />RE: April 20, 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: Verizon Business: MANTECA <br />Facility address: 2551 E LOUISE AVE <br />'ERS ID: 10181481 <br />PR0231659 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: PAUL NSO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #20S -Failure to comply with the designated operator inspection requirements. <br />This violation was corrected <br />44ZSupporting documents included <br />Describp <br />,actions taken or will be <br />❑ This violation will be corrected by (date): <br />correct violation: <br />Page 2 of 2 <br />Rev. 9116/2020 <br />1868 E. Hazelton Avenue i Stockton, California 95205 i T 209 468-3420 � F 209 464-0138 i www.sjgov.org/EHD <br />