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SAN )OAQUIN <br /> Environmental health Department <br /> Y <br /> Corrective Action Statement <br /> RE: April 25, 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 John Alaniz at(209)616-3053 orjalaniz1 @sjgov.org. <br /> WOODBRIDGE AM PM*, 18806 N LOWER SACRAMENTO RD, CERS ID: 10181237, PR023238 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. G� <br /> ,R This violation was corrected ❑This violation will be corrected by(date): } 2Z- <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> ff 06rz s(- Ja YNe Llr,,-77cf-oj <br /> Violation#210 -Failure to provide initial training,train every 12 months,and have a trained employee <br /> present. r <br /> ❑ This violation was corrected %This violation will be corrected by(date): � i I 1 2 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: � `'�) � � jyvt- <br /> `.�� �� Lt��1�.a`1 4� •til err- ��5' �%�meC i+� 1'n� <br /> Violation#214-f=ailure to comply with UST operating permit conditions. ' ] <br /> iR This violation was corrected <br /> El Supporting documents included 13 This violation will be corrected by(date): (✓7 .��`� <br /> t r �s <br /> Describe actions Taken or will be taken to correct violation' - <br /> 6�(-Afk;ltj G !l TL I(i 61 4 17�12 Z <br /> � <br /> W� �( ���� t�c�����,nr7 to ^ �h� �z�w.�� - � �-l�f L��E'�f `fi��.�_ C? <br /> fty � �CAl o <<z 11kc r�C,Z 1,ke <br /> Rei.9j16/2020 Page 3 of 4 <br /> 1868 E. Hazelton Avenue I Stockton; C;aliforria 952051 T 2€39 468-34201 F 209 464-0138 1 w'vw.sjgov.org1EHD <br />