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DocuSign Envelope ID:521A1594-1EDB-435F-B060-839FC1942BE8 <br /> EHD Received via email on: <br /> 7/28/2022 <br /> S A N J O A Q U I N Environmental Health Department <br /> COLJNTY— <br /> Greotneys qrows herr <br /> Corrective Action Statement <br /> RE: July 18, 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 Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> FedEx Ground -Tracy, 5655 Hood Way, CERS ID: 10689070, PRO540345 <br /> Violation#115-Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> EY 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: Advised testing and dispatch vendor,all testing <br /> forms must be submitted to CUPA within 30days.They have agreed to send to CUPA within 30 days <br /> Violation#116-Failure to submit the"Spill Container Testing Report Form"within 30 days. <br /> V 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: Advised testing and dispatch vendor,all testing <br /> forms must be submitted to CUPA within 30days.They have agreed to send to CUPA within 30 days <br /> Violation#118-Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> pr 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: Advised testing and dispatch vendor,all testing <br /> forms must be submitted to CUPA within 30days.They have agreed to send to CUPA within 30 days <br /> Page 3 of 4 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />