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I Environmental Health Department <br /> r. �- OUT <br /> X, E reotn'�2"s groves fies' . <br /> Corrective Action Statement <br /> RE: February 24, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Elena Manzo at(209)953-7699 or emanzo@sjgov.org. <br /> Facility name: WILLIAMS TANK LINES Submit completed form to: <br /> Facility address: 1477 TILLIE LEWIS DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183659 ATTN: ELENA MANZO <br /> PR0523160 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#110-Failed to report program data in the California Environmental Reporting System(CERS). <br /> NK 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 /> t30r6-- is ilpV-k4 " <br /> Violation#111 -No secondary containment or no monthly inspection log for TIUGA with less than 55 gallons <br /> capacity. <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: PAI <br /> z <br /> CLO <br /> M�H <br /> .3 <br /> 3 i/ <br /> Violation#301 -Failed to amend Plan as necessary. <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: (" 17 <br /> � � <br /> Page 2 of 7 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />