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EHD Received via E-mail on: <br /> 8/12/2022 <br /> SAN J 0 A Q U I N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: November 18, 2021, 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 Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: Sutter Valley Hospitals dba Sutter Tracy Community F Submit completed form to: <br /> Facility address: 1420 N Tracy Blvd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10397599 ATTN: PAUL NSO <br /> PR0231736 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#101 -Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit <br /> fees. <br /> 6VL. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included ` <br /> Describe actions taken or will be taken to correct violation: I/l)Xk -e-WtA`M_ t'r lr✓L11 <br /> CLi a.K �,'rYq-f& -- <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> j(This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included t <br /> Describe actions taken or will be taken to correct violation: 11 a O-1n LA t� � 1 e-g_ p <br /> M �s'I S Its <br /> Violation#208-Failure to comply with the designated operator inspection requirements, <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included 1 i <br /> Describe actions taken or will be taken to correct violation: %4e �1tr_ .Q,1_C t P4-P OCG l A_o32 � <br /> Page 2 of 3 <br /> Rev.9!1612020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org1EHD <br />