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c <br /> 0 <br /> SAN �J OQQU I N vironmental Health Department <br /> -- -- COUNTY <br /> �I neatness grows her <br /> Corrective Action Statement <br /> RE : August 16 , 2021 , 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 /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Paul Nso at (209) 616-3049 or pnso@sjgov. org . <br /> Facility name : Manteca Valero Submit completed form to : <br /> Facility address : 1700 E YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181431 ATTN : PAUL NSO <br /> PR0231454 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #112 - Failure to have properly qualified service technician test leak detection equipment every 12 <br /> months . <br /> ❑ This violation was corrected .[ 1 This violation will be corrected by ( date) : <br /> ❑ Supporting documents included , �— <br /> Describe actions taken or will be taken to correct violations <br /> Violation # 113 - Failure to conduct secondary containment testing . <br /> 1, 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 4 <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 />