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SAN J O AN I N Environmental Health Department <br /> r, Greatness grows Isere. <br /> Corrective Action Statement <br /> RE: May 28, 2020, 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 Paul Nso at (209)468-3432 or pnso@sjgov.orq. <br /> SRH FOOD & GAS, 749 E DR MARTIN LUTHER KING JR BLVD, CERS ID: 10181497, PR0231 <br /> Violation#113- Failure to submit "Monitoring System Certification Form" within 30 days of completion of the <br /> test. <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: wV i,�1L-L .V <br /> S'U*-m y-c W i-r"v<N 3c i?a-­t c C,vj\(N" r--D <br /> Violation#118- Failure to submit the "Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <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: <br /> Violation #204 -Current monitoring plan approved by the EHD not found on site. <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: i Oil f <br /> Page 3 of 4 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />