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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 #209 -Failure to maintain a copy of the "Facility Employee Training Certificate" on-site. <br />� This violation was corrected <br />❑ Support <br />ing documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />�Ln ,�4� Ccr-der ri <br />� dMd JV►Z <br />Ned <br />Violation #307 -Failure to keep water out of the secondary containment system (post -Jul 2003). <br />0 This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to <br />C41 17 C/ <br />Violation #319 -Failure to comply with overfill prevention equipment requirements. <br />Rev. 9/16/2020 <br />R_ This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 4 of 4 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 (F 209 464-0138 (www.sjgov.org/EHD <br />