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SAN JOAQUI ,� V I Environmental Health Department <br /> r � �~ i � _thtllt <br /> Corrective Action Statement <br /> RE : September 22, 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 Paul Nso at (209) 616-3049 or pnso@sjgov. org. <br /> Facility name: CRUISERS MANTECA #29 Submit completed form to: <br /> Facility address: 1137 W LATHROP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERSID: 10187387 ATTN: PAUL NSO <br /> PR0530093 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #112 - Failure to have properly qualified service technician test leak detection equipment every 12 <br /> months. <br /> 10 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: es a ( <br /> .8 Bye . <br /> Violation #205 - Failure to submit and have current UST Monitoring Plan readily accessible at the facility. <br /> ❑ 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: S <br /> � b <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 <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 3 <br /> Rev, 9/1612020 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www. sjgov. org/EHD <br />