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SAN 10AQUIN Environmental Health Department <br /> CRUNTY <br /> Corrective Action Statement <br /> RE : February 07, 2020 , 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 Paul Nso at (209 ) 468-3432 or pnso@sjgov . org . <br /> DAMERON HOSPITAL , 525 W ACACIA ST, CERS ID 101810039 PR0231002 <br /> Violation #121 - Failure to implement corrections and submit written response within 30 days of receiving the <br /> report . <br /> g 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 /> FiA A so /� CC� �un5 ,�\\ iZ c,�Q36R tj- ") <br /> Rev. 8/27/2019 Page 3 of 3 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd. com <br />