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SANAMUIN Environmental Health Department <br /> ' U ' —COUNTY— <br /> Corrective Action Statement <br /> RE: March 05, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Matthew Won at(209)616-3029 or MWON@SJGOV.ORG. <br /> SJ CO PUBLIC WORKS CORP YARD', 1810 E HAZELTON AVE, CERS ID: 10181545, PR02311 <br /> Violation#109-Failure to submit"Designated Underground Storage Tank Operator Identification Form" <br /> within 30 days. <br /> is violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included The phone number was added to the DO form and uploaded into <br /> Describe actions taken or will be taken to correct violation: CERS <br /> Violation#110-Failure to submit the"Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <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: Statement of Understandino has been updated and uploaded into <br /> CERS <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> ,O"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: All records are kept on site;we will ensure all personnel <br /> are aware of the location of both (current and archive)binders. Attached are work orders for your reference <br /> Page 4 of 6 <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 />