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noomcss grows mere% <br />Environmental Health Department <br />Corrective Action Statement <br />RE: June 21, 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 Vang-Lee at (209) 616-3028 or vvang-lee@sjgov.org. <br />HARNEY LANE AM PM, 255 E Harney Ln, CERS ID: 10484500, PR0537549 <br />Violation #122 -Failure to implement corrections and submit written response within 30 days of receiving the <br />report. <br />� This violation was corrected <br />❑ This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: Lt./ IOlt e. "relrC 41�1 o't 8 CA�,r�i h/ -Q h <br />o -e SP o�i r e doccl." ¢A H-4% <br />d �� 01� <br />4r 're br;&-e (>/ 94 n% P // Comet dre-t r !rte)/c,,.�y irnol wr 4 �► i--ra <br />�O c/" r OF r -c c,e; VtLa gy 9"1 1 -rJZ t coWon ren cw- 4 <br />Violation #203 -Failure to maintain monitoring records for 36 months and maintenance records for 60 <br />months. <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: 2�l pi �7 01 a <br />&v)// i-'1 P f.i do ' s' -e G t b)�i o/ r-. ori i eO-, t a1. r+' COP vd r- I of V <br />44 rce �f tarr a1 1'ii e <br />Violation #208 -Failure to comply with the designated operator inspection requirements. <br />Rev. 9/16/2020 <br />�l This violation was corrected <br />❑ Supporting documents included <br />. <br />❑ This violation will be corrected by (date): <br />on IL go4 40 <br />Describe actions taken or will be taken to correct violation <br />"O <br />ff <br />e zyhr ane J'-, of t/ <br />d iacx- a"L� 9� l `��►--..,-� a �-pv�.� <br />Page 3 of 4 <br />1868 E. Hazelton Avenue � Stockton, California 95205 ( T 209 468-3420 � F 209 464-0138 i www.sjgov.org/EHD <br />