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SAN <br /> J OAQ U I N Environmental Health Department <br /> �1 U I <br /> COUNTY <br /> Corrective Action Statement <br /> RE: April 19, 2021, Aboveground Petroleum Storage Act 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,descnbe 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 Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> Facility name GOING UP LLC Submit completed form to: <br /> Facility address 6768 S LINDBERGH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10836721 ATTN: LYDIA BAKER <br /> PRO545297 1868 E HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Violation#618-Failure to keep written records of procedures,inspections,and tests for at least three years. <br /> XThis violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included /� /� 11 <br /> Describe actions taken or will betaken to correct violation liG ��S/ (,T���✓�/7 <br /> � L 3 / //l/72�0 <br /> /X/'TJ S�/��,P T�� /l/i�l�/Sf� T/O/J/ <br /> �W <br /> 57e!�7X7 TO 11IC /:DiP <br /> Page 2 of 2 <br /> Rev 9tW2020 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 I T 209 468-3420 j F 209 464-0138 1 www slgov org/EHD <br />