Laserfiche WebLink
RECEIVED VIA EMAIL: <br /> 6/1/2022 <br /> SAN 10 AQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: March 16, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@s}gov org <br /> Facility name: TRACY 76 Submit completed form to <br /> Facility address: 2420 W GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10456027 ATTN. CAROL PRESTO <br /> PR0231580 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 104 -Failure to have an approved UST Monitoring Plan. <br /> T violation was corrected 13This violation will be corrected by(date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violatione- V <br /> ct1 iCA--,,, a h t - n 6vi 20 GG <br /> Ur ,U T ) I uON at - + Ger, fL_ <br /> Violation 9107 -Failure to submit and maintain complete and current financial responsibility documents. <br /> or This violation was corrected ❑This violation wilt be corrected by(date): <br /> ❑ Supporting documents included I <br /> Describe actions taken or will be taken to correct violation: � �{�` F( ('pcf e n-f if c" <br /> C � Its <br /> nCA f nO VU W KV-rr-- +i <br /> Violation #118 -Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> ❑ This violation was corrected his violation will be corrected by(date): 5j�t 2-2- <br /> 0 <br /> Z❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation. pI tS VJ, lii <br /> Q S t <br /> Page 2 of 4 <br /> 0— 0m;mmn <br />