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SANs10AQUIN PfiNvoronmentall Heart:11ii L)(:ll pariment <br />c o t. j lr%j I Y <br />Corrective Action Statement <br />RE: July 28, 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: SJ COUNTY PARI<ING GARAGE <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181667 ATTN: PAUL NSO <br />PR0232594 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #102 - Failure to submit a complete and accurate application for a permit to operate a UST. <br />j� This violation was corrected ❑This violation will be corrected by (date): <br />Facility address: 121 S SAN JOAQUIN ST <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: The current permit has been posted. <br />Violation ##122 -Failure to impiernent corrections and submit written response within 30 days of receiving the <br />report. <br />�Kg <br />This violation was corrected ❑This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will betaken to correct violation: <br />Will submit corrective action reports before 30 days <br />Violation #209 -Failure to maintain a copy of the "Facility Employee Training Certificate" on-site. <br />This violation was corrected <br />❑ Supporting documents included <br />® This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: The dates on the facility Employee Training Certificate' <br />were Changed to reflect the actual hire date and the actual UST Training date. <br />Pago 2 of 2 <br />Rev. 9/1612020 <br />1IIGII E. Hazelton Avenue I Stockton, California 95205 � T 209 46II-3420 I F 209 4G4-013II � vn/aw.sjgov.ory/EHD <br />