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►OU'"\ Environmental Health Department <br />-= SAN JOAQUIN <br />COUNTY <br />Greotness grow, <br />Corrective Action Statement <br />RE: March 30, 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 John Alaniz at (209) 616-3053 orjalanizl@sjgov.org. <br />Facility name: Verizon Business: LDIKCA Submit completed form to: <br />Facility address: 2500 W Turner Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10403278 ATTN: JOHN ALANIZ <br />PR0232507 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 <br />O Supporting documents Included <br />Describe actions taken or will be <br />❑ This violation will be corrected by (date): <br />violation: <br />P <br />Violation #115 - Failure to submit "Monitoring System Certification Form" within 30 days of completion of the <br />test. <br />Rev. 9/16/2020 <br />This violation was corrected ❑ This violation will be corrected by (date): <br />Supporting documents included dpLI <br />Describe actions taken or will b%%//e taken to correct violation, vM <br />Page 2 of 3 <br />1868 E. Hazelton Avenue j Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />