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SAN J O AQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: September 05, 2023, 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. <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 Shewit Woldearegay at(209)616-3063 or stwoldearegay@sjgov.org. <br /> Facility name: Regional Transportation Center Submit completed form to: <br /> Facility address: 2849 E Myrtle St SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10642219 ATTN: SHEWIT WOLDEAREGAY <br /> PRO538822 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 /> 9 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: Outstanding fees have been paid. Future invoices <br /> and permit fees will be paid on-time All permits will be obtained as required. <br /> Violation#115-Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> IX 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: Monitoring System Certification forms will be <br /> submitted within 30-days of any system testing. <br /> Page 2 of 4 <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.org/EHD <br />