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AN�. �AQu Environmental Health Department <br /> h <br /> i COUNTY <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE: January 14, 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 Stacy Rivera at(209)616-3043 or srivera@sjgov.org. <br /> Facility name: VALLEY PACIFIC CHARTER WAY CARDLOCK Submit completed form to: <br /> Facility address: 1501 W CHARTER WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181557 ATTN: STACY RIVERA <br /> PR0231989 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> ® This violation was corrected❑ 0 This violation will be corrected by(date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Mistakes were reviewed with the DO and inspection <br /> reports will be more carefully prepared and reviewed in the future. <br /> Violation#209-Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. <br /> ® This violation was corrected 0 This violation will be corrected by(date). <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: CERS IDs were added and will be reflected on <br /> Training Documentation <br /> Rev,9/1 612 02 0 Page 2 of 2 <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 />