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SAN J OAQ U I N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: October 04, 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, 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 Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Fa0lily narne: A L POWELL TRUCKING Submit completed form to: <br /> Facility address: 23534E ARTHUR RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182029 ATTN: KRISTINA SAETERN <br /> PRO524264 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#105-Failed to properly close tanks under the definition of"Permanently Closed". <br /> ❑ This violation was corrected Ef This violation will be corrected by(date): tZ'U3�2p2I <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#301 -Failed to amend Plan as necessary. <br /> ❑ This violation was corrected This violation will be corrected by(date): 202t <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#605-Plan failed to include an adequate facility diagram,or no facility diagram was included.ff <br /> ❑ This violation was corrected ©This violation will be corrected by(date): �2ID312021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 4 <br /> Rev.9/1612020 <br /> 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />