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Q t1A u Environmental Health Department <br /> ----CQUNTY- <br /> E�r'ot!�e55 y'r� ;f ;irrc. <br /> Corrective Action Statement <br /> RE: January 23, 2024, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: JOSS TRAVEL PLAZA Submit completed form to: <br /> Facility address: 15600 S HARLAN RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180541 ATTN:PAUL NSO <br /> PR0231585 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#111 -Failed to notify the EHD 48 hours prior to conducting testing. <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: <br /> � w�I� eve s c.�h.�e �A �9�v►'de• �'lo o� <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 torrect violation: <br /> c <br /> Violation#214-Failure to comply with UST operating permit conditions. <br /> jt4 ❑This violation was corrected This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions takeor will be taken to corr ct violation: <br /> W1 <br /> Page 2 of 2 <br /> Rev.9116M20 <br /> 1868 E.Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.sjgov.org/EHD <br />