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;ya,00uNC)6U6000-7LI <br /> SA6JU L,, L'Q6',f <br /> '`�c�c�r GttOtAeii fir; cr> �ierr°, <br /> Corrective Action Statement <br /> RE: May 10, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Stacy Rivera at or sriveraasigov.org. <br /> Facility name: JAMAR SERVICE Submit completed form to: <br /> Facility address: 4075 E MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180873 ATTN: STACY RIVERA <br /> PR0231667 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> 00 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: xc» <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving <br /> the report. <br /> B1This violation was corrected ❑This violation will be corrected by(date): <br /> 00 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: (AW D g7q7 c- S' nye <br /> S`uE,ynv-mnC., p�\ •--name, � N-')0 — <br /> Violation#202-Failure to retain a paper or electronic copy of the permit to operate at the facility. <br /> MI�Tlhis violation was corrected ❑This violation will be corrected by(date): <br /> 00 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 2 <br /> Rev,8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />