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4 1 d d d <br /> ' Environmental Health Department <br /> e;,f- ; �c <br /> 01Z J& <br /> '�'i' ,1 A DA Ul <br /> . J • , <br /> Corrective Action Statement <br /> RE: February 13, 2020, Underground Storage Tanis inspection. report <br /> Por each violation listed below, indicates 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 pnsoP.8jgov . org . <br /> Facility name ; JOES TRAVEL PLAZA Submit completed form to: <br /> Facility address : 15600 S HARLAN RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS Ifs : 10180541 ATTN: GAUL NSO <br /> E <br /> PR02315E35 1868 E HAZLTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #t`209 f=ailure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> This violation was corrected 0 This violation will be corrected by (date) : <br /> E7 Supporting documents Included <br /> Describe actions taken or will be tcl on 114 coned vi lation, r <br /> C A A <br /> 0.01 1A <br /> JP <br /> IgVFD <br /> � V L <br /> ENV1ROE'VIVEN7N L <br /> Page 2 of 2 <br /> R5v. e127/2019 <br /> 1868 E . Hazelton Avenue: Stori<ton , Callfornis 95205 T 209 468-3420 1 F 209 464-0138 1 wvvw .sjcelid_ corn <br />