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SAN ` l 0 AQ U I N Environmental Health Department <br /> l � .001 - - COU N I Y <br /> Greotness grows here , <br /> Corrective Action Statement <br /> RE : September 30 , 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 Shewit Woldearegay at (209 ) 616 -3063 or stwoldearegay@sjgov . org . <br /> Facility name : BANK OF STKN AIRPORT HANGAR #3 Submit completed form to : <br /> Facility address : 1941 E LOCKHEED CT SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181291 ATTN : SHEWIT WOLDEAREGAY <br /> PR0231891 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #107 - Failure to submit and maintain complete and current financial responsibility documents . <br /> )9. 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 : MI I Ir KK4*awe LI PWA <br /> TN fww 19LAQK �-t NS Iy► N EA FtaCZr+^t --1� C.,�tz� r r� MTr=-AD <br /> ra, . �> f & I rQK7rVb 1---y t>:k S -f" l4T - 'Sl Tr= . : L lO9`GEN <br /> O rMe� ZLA+%3k -FUrz /V� S 2Cj:r2S APV —rp <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 : �tkE MIS51rQ 0VJjXnLL.- P I&�Qe 3"C'1a�� <br /> Ccs V* -wl CAI � S Ilr� a LXr H ti"D tsaor- ibe rJ IkAceb 11�'a -M-1� 4 c N t '►q <br /> > l / � GZ/"L N l� Cc+J PRl KnTGE� Au l7 TNCE 2T�b 1 KSTa F ,r ! <br /> A %;SI NXs� LINE A1*YD LC::A )L. tAe7; 'f�r2- 0.9m Pc) " WAS A"O $A%Iea <br /> c� P ajl c Z 0 N - S I T� • Y ?R I n c IC Fcczn� A N D <br />