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SAN J Q A DI Environmental Health Department <br />Corrective Action Statement <br />RE: December 27, 2021, Aboveground Petroleum Storage Act 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 or jalaniz1 @sjgov.org. <br />Facility name: PAUL E VAZ TRUCKING INC Submit completed form to: <br />Facility address: 4740 E PELTIER RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10183459 ATTN: JOHN ALANIZ <br />PR0515786 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #112 - Failure to complete and maintain a Substantial Harm Criteria certification. <br />❑ This violation was corrected I This violation will be corrected by (date): 3/3 12022 <br />❑ Supporting documents included f !� (r <br />Describe actions taken or will be taken to correct violation: C� Y 0t 1��.VI �U.��- D <br />'Is woru_�nf4 on yiolal-loth. <br />Violation #201 - Failure to have a licensed PE properly review and certify the SPCC plan. <br />❑ This violation was corrected %-This violation will be corrected by (date): 3/31/2022 <br />❑ Supporting documents included 1,, Cit Describe actions taken or will be taken to correct violation: 1�V V i QV1bum <br />1�� 11 �.v)g t n 2>° r'►n�. ,� �,�1 >J�rl�� n�. � n �i � I a-� � �>n. <br />Violation #301 - Failed to amend Plan as necessary. ? <br />2❑ ❑ This violation was corrected [4This violation will be corrected by (date): 0/3 2-2- <br />0 <br />Supporting documents included (� <br />Describe actions taken or will be taken to correct violation: rt/�1�1 U <br />On yi l l) 1 o,+, 0Y1 <br />Lj <br />Page 2 of 7 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orgiEHD <br />