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SAN 1UAQU1 <br /> rEnvAlronmental HeNa � r Po�lAment <br /> C� <br /> Corrective Action Statement <br /> RE : January 13 , 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 /> VAN DE POL ENTERPRISES INC , 816 E FRONTAGE RD , CERS ID: 10181513 , PR0231470 <br /> Violation #123 - Failure to submit the " Spill Container Testing Report Form" within 30 days after the test . <br /> ❑/This violation was corrected ❑ This violation will be corrected by (date) : <br /> v Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Violation #201 - Failure to maintain monitoring , maintenance , and follow up action records . <br /> This violation was corrected 11This violation will be corrected by ( date) : <br /> ❑ Supporting documents included ` <br /> Describe actions taken or will be take to correct violation : �a�-moi 7ajn7 6 e& Or <br /> i ✓� S la 5. Thr S 0 sik* <br /> Violation #204 - Current monitoring plan approved by the EHD not found on site . <br /> 0010This 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 : Ry af c .6 errs C11lAmnny <br /> i <br /> Page 3 of 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton . California 952051 T 209 468 - 3420 1 F 209 464 - 0138 1 www . sjcehd. com <br />