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SAN J O A Q U I N Environmental Health Department <br /> c-(D 1.) 1-11-r y <br /> Corrective Action Statement <br /> RE: January 07, 2022, 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 Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> Facility name: SHERIFFS OPERATIONS CTR#1 Submit completed form to: <br /> Facility address: 7000 N MICHAEL CANLIS RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181419 ATTN: LYDIA BAKER <br /> PR0232437 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#104-Failure to have an approved UST Monitoring Plan. <br /> 131 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: Monitoring Plan has been corrected and uploaded into CERS <br /> Violation##106-Failure to submit and maintain a current facility plot plan 1 site map. <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: The Plot Plan has been corrected and uploaded into CERS <br /> Violation#118-Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> M 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: In the future reports will be submitted within 30 days of testing <br /> Page 2 of 3 <br /> Rev.911612020 <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 />