Laserfiche WebLink
SAN :J OAQU 1 N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: April 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. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> cort pleted form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> plez se contact Paul Nso at (209)468-3432 or pnso@sjgov.org. <br /> Fac lity name: Trinity Parkway AMPM ARCO#83819 Submit completed form to: <br /> Facility address: 10715 Trinity Pkwy SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10760026 ATTN: PAUL NSO <br /> PR0541281 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Via ation #111 -Failed to test monitoring and leak detection equipment every 12 months. <br /> 1A 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: C -h.c d <br /> - Z • 5'6r-v/" 4-er,' <br /> 4111F Ai-? Cy-w l2 moo' <br /> Viol tion #118 -Failure to submit the "Underground Storage Tank Statement of Understanding and <br /> Co pliance Form". <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: A10 �'avPy?71.9,20'0 d � <br /> 4o C,i�s a�ot <br /> Rev 8/27/2019 Page 2 of 3 <br /> 1868 14. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />