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SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE : December 30 , 2019 , 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 : STKN ARMY AVIATION SUPP FACILITY* Submit completed form to : <br /> Facility address : 2000 STIMSON RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181267 ATTN: PAUL NSO <br /> PR0231732 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #104 - UST operating permit application for facility and tank information not submitted or current . <br /> xThis 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 : IHSS G � � �' Gt I W r S <br /> � P ,1 `/ �{ f�, t _ i 2. 020 <br /> Violation #105 - Failed to have an approved UST monitoring plan . <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 : � �= � l t- tis' r `P ly < C' ' 1�t/l <br /> em fV K M •vt r •� e� O Iy -7 �/ i4r�1 a o Z !) <br /> I <br /> Violation #111 - Failed to test monitoring and leak detection equipment every 12 months. <br /> lV This violation was corrected ❑ This violation will be corrected by ( date) : <br /> ❑ Supporting documents included r <br /> Describe actions taken or will be taken to correct violation : (/ ttypS co fl /"cd U� <br /> D� G24#tirC /` <br /> Page 2 of 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 -3420 F 209 464-0138 1 www. sjcehd . com <br />