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SAN J OAQ U I N Environmental Health Department <br /> 0 N T Y <br /> Corrective Action Statement <br /> RE: May 31, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: SUSD-CORPORATE YARD Submit completed form to: <br /> Facility address: 1932 EL PINAL DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181573 ATTN: PAUL NSO <br /> PR0231097 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#111 -Failed to notify the EHD 48 hours prior to conducting testing. <br /> ❑ This violation was corrected ❑This violation will be corrected by(date): <br /> IPI.1 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: 1 ��/�� ��� �dn�• )� z yvtoa <br /> T u\ 16 on <br /> Violation#118-Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> ❑ This violation was corrected ❑This violation will be corrected by(date): <br /> ASupporting documents included \,�n C r, n <br /> Describe actions taken or will be taken to correct violation: 1 VC, k L4\ U)M A,V. t 61\ '2Ljp�Z� <br /> c �k �5 h%\X b W Q I WC Ot cl O+n `C r �5- <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> ❑ This violation was corrected ❑This violation will be corrected by(date): <br /> A Supporting documents included -y~ <br /> Describe actions taken or will be taken to correct violation: 1 r <br /> 5 6 210 umv W(6 11 2ti <br /> 125o ft(or lnav cl Qn tw, binder. <br /> Page 2 of 2 <br /> Rev.9/16/2020 <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 />