Laserfiche WebLink
SAN J OAN N Environmental Health Department <br /> T %{ <br /> Corrective Action Statement <br /> RE : January 08 , 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(aDsigov. orq . <br /> Facility name : Colonial Energy CE 40135 ( DBA Power Mart) Submit completed form to: <br /> Facility address : 192 Lathrop Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10169823 ATTN : SHEWIT WOLDEAREGAY <br /> PRO505867 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #103 - Failure to submit and maintain complete and current financial responsibility documents. <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> Supporting documents included <br /> Describe actions taken r w' I b taken to orrect violation : C�ti� �{i1t/vf <br /> S (�i <br /> Violation #201 - Failure to maintain monitoring , maintenance, and follow up action records. <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 : <br /> U C & Kf l l <br /> Violation #202 - Failure to maintain the " Facility Employee Training Certificate" on -site (after October 1 , <br /> 2018x <br /> ). <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> Supporting documents included <br /> Describe actions taken or will be to en to correct violation : _ _ ��i� 4 L/AGf <br /> , <br /> Page 2 of 4 <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 wvnv . sjcehd . com <br />