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SAN J O A Q U I N Environmental Health Department <br /> LC?lV N i Y <br /> Greotness grows here <br /> Corrective Action Statement <br /> RE: April 08, 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: CALIFORNIA STOP' Submit completed form to: <br /> Facility address: 2224 MANTHEY RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181299 ATTN:KRISTINA SAETERN <br /> PR0232555 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 /> Thls 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: T}i C-: ,,, V-„c„A )�->4-- <br /> vYNn��` L_ �L /'-?c y. —. 4—, 1�( <br /> Violation#104-FaNure to submit a complete and accurate UST Monitoring Plan. <br /> 0 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: C r'_> L"!'-1 <br /> 1.'1 r� �',r 1 (• J 1•, Z L. —� [ �1 t''` �, )-� r'r1 J 4- <br /> Page 2 of 3 <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 />