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Department <br />Health De <br />SAN JOAQUIN p <br />Greatness grows her <br />Corrective Action Statement <br />RE: April 19, 2023, 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br />Facility name: Verizon Business: MANTECA Submit completed form to: <br />Facility address: 2551 E LOUISE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181481 ATTN: PAUL NSO <br />PR0231659 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #208 - Failure to comply with the designated operator inspection requirements. <br />,A This violation was corrected <br />Rev. 9116/2620 <br />❑ This violation will be corrected by (date): <br />Page 2of2 <br />1868 E Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />