Laserfiche WebLink
Zev ' B2d <br /> � & � 0� � �] � ���'���k�����8 ����� ��������� <br /> ���� �����0� �� <br /> Environmental~~^ ^ ^ ^�^ Department <br /> � <br /> - ' ' ~ ' '� — ' ' <br /> `~ ^C-{}LyNTY—'- <br /> G yonw� <br /> Corrective <br /> J1pf'{]O Statement <br /> RE: December 2S. 2O20. Underground Storage Tank inspection report <br /> For each violation listed belmw, 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 /> completed form with the Return to Compliance Certification within 30 days of inspection. |fyou have any questions, <br /> please contact Vicky Van8'Leeat(2OQ)616-3O28nrvvong'|ea@sjgov.nrg. <br /> Facility name: FOOD 4LESS FUEL CENTER* Submit completed form to: <br /> Facility address: 3408 MANTHEY RD 8JCENVIRONMENTAL HEALTH DEPARTMENT <br /> CER8 |D: 10184305 ATTN:V|CKYVANG'LEE <br /> PR0517521 1888EHAzELT0NAVENUE <br /> STOCKT0N. CA 95205 <br /> Violation#118-Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> DO This violation was corrected OThis violation will bncorrected bv(daom): <br /> O Supporting documents included <br /> Describe actions taken orwill botaken\ocorrect violation: moving forward we will make sure all testing <br /> reports are submitted within the 30 days of the <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> DD This violation was corrected []This violation will bocorrected hy(daoo): <br /> O Supporting documents included <br /> Describe actions taken orwill betaken k/correct violation'. moving forward we will make sure the corrective <br /> action statement is returned within the 30 day of the due date. <br /> Violation#204-Failure to maintain records of repairs,lining,and upgrades on site,for the life of the UST. <br /> 19 This violation was corrected OThis violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken nrwill botaken hocorrect violation: the work order for the bucket replacement was <br /> not on site, we will make sure all copies f work order will remain onsite. <br /> submitted with corrective action report. <br /> Rev. Page 2of3 <br /> �e��� <br />