Laserfiche WebLink
ERvUranmenta Gee@ th Dpulr ent <br /> COUN <br /> 40 <br /> Greatness grows hei <br /> Corrective Action Statement <br /> RE : May 17 , 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 . Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Carol Presto at (209) 616-3061 or cpresto@sjgov . org . <br /> Facility name : JAMAR SERVICE Submit completed form to : <br /> Facility address : 4075 E MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10180873 ATTN : CAROL PRESTO <br /> PR0231667 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #107 - Failure to submit and maintain complete and current financial responsibility documents . <br /> 4�X This violation was corrected ❑ This violation will be corrected by (date) : <br /> (.00 Supporting documents included <br /> Describe actions taken or will be taken to correct violation : C't��Rec"C�� �� D Qc?L �o�� <br /> Tb C11 Vr . <br /> Violation #109 - Failure to submit " Designated Underground Storage Tank Operator Identification Form " <br /> within 30 days . <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 : 1Uwl. D C)-`- ar� p U ? Le ;14f z� 1k > <br /> Page 2 of 3 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazel19n Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464- 0138 1 www . siaov . ora /EHD <br />