Laserfiche WebLink
SQN 10AQ U f N Environmental Health Department <br /> ��. <br /> ` <br /> t ' Gtreotness grows heft , <br /> i, <br /> Corrective Action Statement <br /> RE : July 27 , 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 . Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Shewit Woldearegay at (209) 468-0216 or stwoldearegay (cDsjgov. orq . <br /> H & M - BW #98 , 2501 JACKSON AVE , CERS IM 10181511 , PR0231488 <br /> Violation #319 - No spill bucket, failed to contain 5 gallons , no means to keep it empty , or failed to be tested . <br /> dThis violation was corrected ❑ This violation will be corrected by ( date) : <br /> EV Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> OL <br /> u � 6o <br /> Violation #320 - Failure to comply with the installation , inspection , or record keeping of the overfill <br /> prevention . <br /> 4� This violation was corrected ❑ This violation will be corrected by ( date) : <br /> I9�Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 3 of 3 <br /> Rev. 8/2712019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 I T 209 4681113420 1 F 209 46411-0138 1 www. sjcehd . com <br />