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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: March 23, 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(20 9)616-3x43 or srivera@sjgov.org. <br /> Facility name: CALIFORNIA STOP' Submit completed form to' <br /> Facility address: 2224 MANTHEY R❑ SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 14181299 ATTN STACY RIVERA <br /> PR0232555 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> ,g 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: -ji e n 04 r✓ L� <br /> ,+.-cz 4z ,. -t r-,- f �? s,c n Cf^� 1 f�{O� �+b 5 14 <br /> Violation#319-Failure to comply with overfill prevention equipment requirements. <br /> H This violation was corrected F-1 This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: 4,j2�u��� �-. L�•�+ CA c. . <br /> ^c c4 7 r.c tI�o.� t'} u]ca ri,,-,L- <br /> 114 C— <br /> „-',--,14C- it lei 1”} [7n � G�L' !ac•� fr� x[31 y, <br /> Page 2 of 2 <br /> Rsv.911612020 <br /> 1868 E. Hazelton Avenue i Stockton,California 95205 i T 209 468-3420 G IF 209 464-0138 1 www.sjgov.oN1EHn <br /> I <br />