Laserfiche WebLink
AN 'JUAWN. <br />Corrective Action Statement <br />RE: February 08, 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: ARCH ARCO AM PM* <br />Facility address: 4855 S HWY 99 <br />'ERS ID: 10182251 <br />PR0506650 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: PAUL NSO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #105 -Failure to have an approved UST Response Plan. <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: l.1 <br />Violation #107 -Failure to submit and maintain complete and current financial responsibility documents, <br />fr 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: �©, N. ck' 0 e�"�.`�1 ` <br />Violation #109 -Failure to submit "Designated Underground Storage Tank Operator Identification Form" <br />within 30 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:(`oilj ��., �, k1,,�,�1 1C= <br />ca_ c+> i a � � C� C�x.�._�--,cam � � � .. �.. �-!• 4 g �, � _ � _ _. _ � _ <br />Page 2 of 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />