Laserfiche WebLink
SAN J O AQ U I N Environmental Health Department <br />COUNTY - <br />`:u Greotness grows here. <br />Corrective Action Statement <br />RE: April 28, 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 Lydia Baker at (209) 616-3046 or (baker@sjgov.org. <br />Facility name: <br />STOCKTON MOBIL 3" <br />Submit completed form to: <br />Facility address: <br />2358 E WATERLOO RD <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: <br />10182079 <br />ATTN: LYDIA BAKER <br />PR0231756 <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #118 - Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days. <br />01 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 />we will ensure testing and submittal of test reports are performed in a timely manner. <br />Violation #202 - Failure to retain a paper or electronic copy of the permit to operate at the facility. <br />VThis 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 />we obtain a cosy of the 2022 <br />permit on site <br />Violation #208 - Failure to comply with the designated operator inspection requirements. <br />Q] 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: we will <br />Ensure all designated operator inspection reports are completed and signed within the required time <br />frame in the future. <br />Page 2 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />