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SAN 10AQ U I N Environmental Health Department <br />COUNTY- <br />Greotness grcvis hcre. <br />Corrective Action Statement <br />RE: February 22, 2022, 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 />Facility name- LIONUDAKIS FIREWOOD Submit completed form to: <br />Facility address: 20451 MCHENRY AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10183367 ATTN' KRISTINA SAETERN <br />PRO523036 1868 E HAZELTON AVENUE <br />STOCKTON. CA 95205 <br />Violation #103 - Failed to file HMBP or annual facility tank statement. <br />13 This violation was corrected This violation will be corrected by (date): <br />0 Supporting documents included <br />Violation #105 - Failed to properly close tanks under the definition of "Permanently Closed". <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: Pal k K_, 1/�..C�.r <br />is "a 4-n - 1P1\ t -1i t- L. q1 . l r_ L". 1 t,, Z;—P _ —,-- _ 1 i <br />Violation #106 - Failed to submit a certification and written response within 30 days for minor violations. <br />V This violation was corrected t] This violation will be corrected by (date).- <br />0 <br />date): <br />0 Supporting documents included <br />Describe actions oaken ,oyr will be taken to correct violation: <br />Page 2 of 4 <br />Rev 9!16/2620 <br />1868 E Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjgov org/EHD <br />