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SAN J O AQ U I N Environmental Health Department <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: LQd a P d� e) n j-tl OJG/1 <br /> k r r-- <br /> n <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> Dll- -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 : v7 ✓>l �� <br /> n <br /> L; <br /> OCT 13 20219 <br /> ENVIRONMENTAL HEALTH <br /> ® EPAR NIFNT <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 />