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SAN 1 O A Q U I N Environmental Hff0&V1fe- <br /> r , N T Y <br /> DEC 2 9 2020 <br /> Corrective Action Statement ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> RE: July 17, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Shewit Woldeareqay at(209)468-0216 or stwoldearegay(Ci).sigov.orq. <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: SHEWIT WOLDEAREGAY <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 /> 0 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: Tl� `3►` -� d a--K-t-d ii,-E <br /> -ry6,g e-r 'L/p ,A�-1/ -moi <br /> J�i�9 s ( ce.->-2c c l�-'S ja . i�:..�- /5 ,Ii t <br /> Violation#209-Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. <br /> Af 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: V-) <br /> i�Ct.,,dF P-ik +1 �l� µA �; .(<<-zcj rN �4y ✓' �o�Fz i9n�/ <br /> Violation#319-No spill bucket,failed to contain 5 gallons, no means to keep it empty,or failed to be tested. <br /> XThis violation was corrected ❑This violation will be corrected by(date); <br /> ❑ Supporting documents included n / <br /> Describe actions taken or will be taken to correct violation: BLQJ l,e 1 W ° <br /> CIO <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 />