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�� �O�nU�� Environmental Health Department <br /> C❑kJNTY <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 F 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 /> This violation was corrected El This violation will be corrected by(date): <br /> ❑Supporting documents included ^� <br /> Describe actions taken or will be taken to correct violation: <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: V11 it W SA El � C�,{ - <br /> UZk VCS 4'-- U)i <br /> IJ <br /> Page 2 of 2 <br /> Rev.911612020 <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 />