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SAN J O A Q 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 /> Regional Transportation Center, 2849 E Myrtle St, CERS ID: 10642219, PR0538822 <br /> Violation#116-Failure to submit the"Spill Container Testing Report Form"within 30 days. <br /> 91 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: Spill Container Testing Report form will be <br /> submitted within 30-days of any system testing or as required. <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> ❑x 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: Both monitoring binders are on-site in the office. <br /> See image attached. Binder updated with repair document(see attached invoice#13540). <br /> Violation#209-Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. <br /> ❑x 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: DO forgot to sign the Facility Employee Training <br /> certification - certification signed and placed in binder-see attached <br /> Page 3 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 />