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SAN JDAWN <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(dsjgov.org. <br />Facility name: Verizon Business: MANTECA Submilt completed form to: <br />Facility address: 2551 E LOUISE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181481 ATTN: PAUL_ NSO <br />PR0231659 1868 E HAZELTON AVENUE <br />lD STOCKTON, CA 95205 <br />Violation #43•r- IF re to imp eme sponse within 34 days of receivin <br />report. <br />This violation was corrected ❑ This violation will be corrected by (date): <br />Supporting documents included S / <br />be actions taken or will be taken to correct violation: <br />0 <br />n Fail ut tv t at least once every 30 <br />This violation was corrected ❑ This violation will be corrected by (date): <br />Supporting documents included <br />tribe actions t�!ken or will be taken to correct violation: e!/�l/ <br />Page 2 of 2 <br />Rev. 6!271201 <br />18681. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 i www.sjcehd.com <br />