Laserfiche WebLink
SAN -, <br /> Environmental Health Department <br /> Corrective Action Statement <br /> RE: May 04, 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) 46811113432 or pnso@sjgov. org . <br /> SMK CHEVRON , 25651 N HWY 999 CERS Woo 10181469, PR0231628 <br /> Violation #115 - " Designated Underground Storage Tank Operator Identification Form" not submitted within <br /> 30 days. <br /> J.. This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be to en to correp t violation : <br /> 1 b I 2 > <br /> Violation #118 - Failure to submit the " Underground Storage Tank Statement of Understanding and <br /> Compliance Form" . <br /> ` — 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 /> Violation #121 - Failure to implement corrections and submit written response within 30 da g the <br /> report. <br /> ❑ This violation was corrected ❑ This violation will be corrected by (d e) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> C, <br /> Page 3 of 4 <br /> Rev, 8127/2019 <br /> 1868 E. Hazelton Avenue ( Stockton , California 95205 T 209 468-3420 ( F 209 464-0138 www. sjcehd. com <br />