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SAN J OAQ U I N Environmental Health Department <br /> C lJ N T Y <br /> Corrective Action Statement <br /> RE: May 18, 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 Elianna Florido at(209)616-3050 or eflorido@sjgov.org. <br /> SUSD-CORPORATE YARD, 1932 EL PINAL DR, CERS ID: 10181573, PR0231097 <br /> Violation#110-Failure to submit the"Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> IT This violation was corrected ❑This violation will be corrected by(date): <br /> 0* Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Log on to CERS and load new form. <br /> UST Owner/Operator Name's: Greg Kaiser, Stephanie and Marissa Murphy. <br /> Violation#115-Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> Cr This violation was corrected ❑This violation will be corrected by(date): <br /> Cr Supporting documents included <br /> Describe actions taken or will be taken to correct violation: See Copy of email from Sandi Nimmo and <br /> Hope Briscoe Afforda Test. <br /> Violation#116-Failure to submit the"Spill Container Testing Report Form"within 30 days. <br /> ff This violation was corrected ❑This violation will be corrected by(date): <br /> Iff Supporting documents included <br /> Describe actions taken or will be taken to correct violation: See email from Sandi Nimmo and <br /> Hope Briscoe Afforda Test <br /> Page 3 of 4 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />