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lOWM <br /> " SAN 10 A Q U I N Environmental Health Department <br /> �• 11:41 —00UNTY <br /> Greotness grows here, <br /> Corrective Action Statement <br /> RE: January 19, 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. <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 Kristina Saetem at(209)616-3045 or ksaetem@sjgov.org. <br /> Facility name: TULARE FARMS LLLP Submit completed form to- <br /> Facility address- 2771 E FRENCH CAMP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181191 ATTN:KRISTINA SAETERN <br /> PR0234251 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 /> 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 vipI tion: A �(�a�(�j�.(+ <br /> P.Samead <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> XThis violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct viola ion: <br /> CLOS�oar r f as a' <br /> Violation#117-Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test. <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 corn ct vi lation: <br /> Civ ih- <br /> ES '• <br /> Page 2 of 3 <br /> Rev 9116/2020 <br /> 1868 E.Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />