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SAN J O AQ U I N Environmental Health Department <br /> COU INTY <br /> Corrective Action Statement <br /> RE: November 14, 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 Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: Sutter Valley Hospitals dba Sutter Tracy Community 1 Submit completed form to: <br /> Facility address: 1420 N Tracy Blvd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10397599 ATTN: CAROL PRESTO <br /> PR0231736 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> 6)This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included � k�� <br /> Describe actions taken or will be taken to correct violation: v w <br /> c �^ <br /> WkIll �`t *v w6m0 Iw 0 S <br /> CLYX M Qtr) y+ ' <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 yy <br /> Describe actions taken or will betaken to correct v.olation <br /> kjPage 2 of 2 <br /> Rev-911612020 <br /> 1868 E. Hazelton Avenue Stockton. California 95205 I T 209 468-3420 1 F 209 464-0138 1 www sjgov.org/EHD <br />