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Jun 12 20 01:49p p.2 <br /> 06/11/2020 4:25 PX FAX 7023419966 to 0002/0008 <br /> Environmental Health Department <br /> S -N.*1.QAQU1'.N <br /> -C <br /> C)U N T Y <br /> Corrective Action Statement <br /> RE: March 30, 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 isach violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> Please Couluc't Paul Nso at(209)468-3432 dr pnso@rjgov.org. <br /> Facility name: AJS MINI MART INC Submit completed form to: <br /> Facility address.- 7906 IN EL DORADO ST SJC ENVIRONMENTAL HF-ALTH DEPARTMENT <br /> CERS ID: 10181259 ATTN: PAUL NSO <br /> PRO231094 1868 E HAZF-LTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 9209-Failure to conduct the designated UST operator visual inspection at least once every 31 <br /> days. <br /> violation was corrected 13 This violatlon will be corrected by(date): <br /> 13 Supporting documents Included <br /> Describe actions taker or will be taKen to correct violation: V� IMI <br /> V <br /> h A AP �J)h <br /> Violation 0210-DO monthly reports not maintained on site for 12 months or for 36 months(after October 1, <br /> 2018). <br /> violation was corrected E:l This violation will be corrected by(date); <br /> C3 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> t"o k I <br /> f <br /> Page 2 of 3 <br /> Rev-WM'011; <br /> 1868 E_ Hazelton Avenue I Stockton, California 95205 1 T 209 468-:3420 1 F 209 464-0138 j www.sjcehd.r-om <br /> Received Time Jun. 12, 2020 2: 34PM No- 6032 <br />