Laserfiche WebLink
SANJOAQUI Environmental Health Department <br />COUNTY <br />t�c,v Greatness grows here. <br />Corrective Action Statement <br />RE: May 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. 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 Woldearegay at (209) 468-0216 or stwoldearegay(c)sjgov.orq. <br />COSTCO WHOLESALE #1091, 2680 REYNOLDS RANCH PKWY, CERS ID: 101461519 PRO53 <br />Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br />days. <br />I( This violation was corrected ❑ This violation will be corrected by (date): <br />V Supporting documents included <br />Describe actions taken or will be taken to correct violation: We have provided the documentation that <br />the visual inspection was done on 4/23/20 which was within 30 days of the 5/21/2020 inspection. <br />The designated operator will accurately note the testing dates and required information on the <br />reports In the future. <br />Page 3 of 3 <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 />