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Y <br /> SAKJOAQUIN Environmental Health Department <br /> " Irl.:: —COUNTY— <br /> `.;� Greotness grows her, <br /> Corrective Action Statement <br /> RE: March 12, 2024, 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: TRACY 76 Submit completed form to: <br /> Facility address: 2420 W GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10456027 ATTN: PAUL NSO <br /> PR0231580 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation# -Failure to submit a complete and accurate UST Monitoring Plan. <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: (7p\-t-P_ Yl r,w t^ r. 5 ,pEj <br /> /t P O v <br /> Violation# Failure to submit and maintain complete and current financial responsibility documents. <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: l r1 e ✓ ln. Lo b�t <br /> 0 F Ao _� .-1 t— <br /> Violation#112-Failure to have properly qualified service technician test leak detection equipment every 12 <br /> months. <br /> TMis violation was corrected ❑This violation will be corrected by(date): <br /> Supporting documents included // <br /> De ri actions taken or ill be taken to correct violation: I � TV- I LC <br /> o cci <br /> Page 2 of 6 <br /> Rev.WIWM20 <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 />