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SAN 1DANIN <br />Environmental Health Department <br />Corrective Action Statement <br />RE: April 21, 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 />Facility name: Verizon Business: MANTECA <br />Facility address: 2551 E LOUISE AVE <br />CERS ID: 10181481 <br />P R0231659 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: PAUL NSO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #121 - Failure to implement corrections and submit written response within 30 days of receiving the <br />report. <br />This violation was correctedhis violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: e,—,— <br />V3. . <br />` `�d�'' y!C /'1/3.. _A! ---/ __LI . _ .r ifs ir]-_e __ -I <br />I <br />Violation #209 -Failure to conduct the designated UST operator visual inspection at least Awe <br />30���h''� <br />days. <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: 16 <br />R <br />r <br />Page 2 of 2 <br />Rev, 8/27/2019 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />