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S) A N J QM I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: July 13, 2022, Underground Storage Tank inspection report <br /> For each violation listed below, indicate if the violation has been corrected or wfll 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 Paul Nso at(209)616-3049 or peso@sjgov.org. <br /> Facility name: STKN ARMY AVIATION SUPP FACILITY" Submit completed form to: <br /> Facility address- 2000 STIMSON RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181267 ATTN: PAUL Nso <br /> PR0231732 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#263-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> 12(This violation was corrected ❑This violation will be corrected by(date): <br /> a�Supporting documents included <br /> Describe actions taken or will be taken to correct violation: ;oS �� L I �1 r ;}�,tc� (f q- jC <br /> ZvZ1 0%)—C l l e.—• -n a u: j4A4 c u% o hw-� r 6 e,-ut. u,6l r �! <br /> w: }a �I Za 5ecw�c�e,. �..►.....� u�ct c, ,� Za v <br /> CerA-•Xc-Ak" Pt i Arc pn 5.1--- -e" C-1 4-w r-`e:t" <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <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 <br /> S t r4�+,+A• 0. -�e..z] +M1+�a+R}t4,i � 5• ti. �c,r,.. � `r. •�. .,� trl� <br /> wr 0.Vk.�ab 2 n Zl.� •`I. w S 1 r.0 cel 1 Ce e4 C <br /> S: v.eeti �J� T►-e n.0. 1 5 le �t rr.•. e <br /> Page 2 of 2 <br /> Rev.966/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 458-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />