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l� = S� _. a�Q �I Environmental Health Department <br /> 1 , N <br /> 6 Cf]UfVTY <br /> Dict '* Greatness grows here. <br /> Corrective Action Statement <br /> RE: April 01, 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. 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 Cert€fication within 30 days of inspection. If you have any questions, please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: COS MUNICIPAL SERVICE CTR Submit completed form to: <br /> Facility address: 1465 S LINCOLN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181525 ATTN: PAUL NSO <br /> PR0232272 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#106-Failure to submit and maintain a current facility plot plan 1 site map. <br /> XThis violation was corrected ❑This violation will be corrected by(date): <br /> XSupporting documents included <br /> Describe actions taken or will be taken to correct violation: An Updated facility plot plan I site map was <br /> updated and uploaded to CERS 413012022. <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> XThis violation was corrected ❑This violation will be corrected by(date): <br /> XSupporting documents included <br /> Describe actions taken or will be taken to correct violation: Updated financial repoSiSibility documents <br /> were uploaded into CERS 413012022. <br /> Violation 4122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> XThis 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: We have hired a new Public Works Safety <br /> Officer who will be responsible for implementing all corrections and submitting written <br /> rpsonses in a fimpaly manner-- -_- _---- - - -- - <br /> Page 2 of 3 <br /> Rev.9116/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.sjgov.org/EHD <br />