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SAN JOAQUIN <br />---COUNTY <br />Greet/less 9rows here <br />Environmental Health Department <br />Corrective Action Statement <br />RE: November 19, 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. 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 />Supervalu, 1990 N PICCOLI RD, CERS ID: 10181455, PR0231820 <br />Violation #208 - Failure to comply with the designated operator inspection requirements. <br />This violation was corrected El This violation will be corrected by (date): 1.4- 7(_-,),f),, <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: vire (0 /f -eCr <br />z4/ <br /> 4,„.16/ ty, .‹ 6/7 / <br />a v c's; • <br />Violation #319 - Failure to comply with overfill prevention equipment requirements. //- /s-2/# <br />This violation was corrected D This violation will be corrected by (date): /2 -) 3-20,x° <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: jP/rd k ,),(4 Ter* 1 416 <br />Page 5 of 5 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I StocktonyCalifornia 95205 T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD <br />.r" id ( 7‘r