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SAN J O A Q U I N Environmental Health Department <br />_ fir; - COU NTY-- <br />C ;„ y Greatness gr�ow5 Frere. <br />Corrective Action Statement <br />RE: September 16, 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 <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Carol Presto at (209) 616-3061 or cpresto@sjgov.org. <br />Facility name: LODI MUNI SERVICE CENTER Submit completed form to: <br />Facility address: 1331 S HAM LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181549 ATTN: CAROL PRESTO <br />PR0231332 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 />❑ 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 />Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br />days. <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 />Page 2 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />