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SAN 10AQ U I N Environmental Health Department <br />COUNTY <br />Corrective Action Statement <br />RE: June 09, 2020, 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. Also, <br />describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br />Facility name: CANEPAS CAR WASH Submit completed form to: <br />Facility address: 6230 PACIFIC AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181251 ATTN: PAUL NSO <br />PR0231225 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #107 - Failure to submit and maintain complete and current financial responsibility documents. <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: <br />Violation #205 -Current monitoring plan approved by the EHD not found on site. <br />❑ This violation was corrected <br />❑ ❑ documents included <br />This violation will be corrected b <br />Supporting <br />y (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />