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SAN 10 A Q U I N Environmental Health Department <br /> COUNT <br /> Greatness grows here <br /> Corrective Action Statement <br /> RE: November 19, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Shewit Woldearegay at(209)616-3063 or stwoldearegay@sjgov.org. <br /> Facility name: MARCH AND BIANCHI INC Submit completed form to: <br /> Facility address: 1916 E MARCH LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10186995 ATTN: SHEWIT WOLDEAREGAY <br /> PRO527728 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#106-Failure to submit and maintain a current facility plot plan/site map. <br /> ❑ This violation was corrected ❑This violation will be corrected by(date): <br /> lT Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#110-Failure to submit the"Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> ❑ This violation was corrected ❑This violation will be corrected by(date): <br /> t'] Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#111 -Failed to notify the EHD 48 hours prior to conducting testing. <br /> D 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 /> Page 2 of 5 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />