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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: February 25, 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 /> Facility name: QUICK N EASY MART Submit completed form to: <br /> Facility address: 2057 S EL DORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181361 ATTN: PAUL NSO <br /> PR0231083 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#204 -Current monitoring plan approved by the EHD not found on site. <br /> ❑ This violation was corrected JF(This violation will be corrected by(date): 2 �� Z-Z <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation:_ A n c6�P Cl <br /> G C%!1 cwWE <br /> Violation #209 -Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. <br /> ❑ This violation was corrected O This violation will be corrected by(date): S <br /> ❑ Supporting documents included <br /> Describe actions taken or e taken to cit <br /> LIZ <br /> orrect violation:_ <br /> � w <br /> Page 2 of 2 <br /> „ )nr i T ?ng 468-3420 1 F 209 464-0138 1 www,sjcehd.coni <br />