Laserfiche WebLink
SKJOAQUIN Environmental Health Department <br /> . � . <br /> —COU NTY- <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: June 09, 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.org. <br /> Facility name: QUIK STOP MARKET#2152 Submit completed form to: <br /> Facility address: 1721 S CHEROKEE LN # 1 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180631 ATTN: PAUL NSO <br /> PR0232355 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #103 - 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: <br /> Financial responsibility documents were provided to site. <br /> Violation #121 - Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> 4X 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 /> For future inspections a written response documenting corrective actions taken or proposed will be <br /> submitted and corrections will be implemented with 30 days of the inspection report. <br /> Violation #201 - Failure to maintain monitoring, maintenance, and follow up action records. <br /> [51 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 /> 2019 Monitoring System Certification was provided to site and EHD. <br /> Page 2 of 4 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />