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Q 'Q °UrN <br /> amt SAN � OHQUIN Environmental Health Department <br /> .: ` � COUNTY - <br /> \' Greotness grows here . <br /> Corrective Action Statement <br /> RE : January 27 , 2022 , 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 Lydia Baker at (209) 616-3046 or ( baker@sjgov. org . <br /> Facility name : RYDER TRUCK RENTAL # 1071 Submit completed form to: <br /> Facility address : 3633 DUCK CREEK DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181387 ATTN : LYDIA BAKER <br /> PR0232461 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #109 - Failure to submit " Designated Underground Storage Tank Operator Identification Form " <br /> within 30 days . <br /> [R This violation was corrected ❑ This violation will be corrected by ( date) : <br /> IR Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Violation # 117 - Failed to submit "Secondary Containment Testing Report Form " within 30 days after the test. <br /> M This violation was corrected ❑ This violation will be corrected by (date ) : <br /> Q Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Violation #318 - Failed to meet spill container requirements . <br /> ER This violation was corrected ❑ This violation will be corrected by ( date) : <br /> P Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2 of 2 <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 />