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Envoronmental Health Department <br /> ANJOAQUIN <br /> Corrective Action Statement <br /> RE : October 16 , 2019 , 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 Shewit Woldearegay at (209) 468-0216 or stwoldearegay@sjgov. org . <br /> RANCHO SAN MIGUEL MARKET*, 610 S Cherokee Ln , CERS ID : 10184805, PRO521866 <br /> Violation #201 - Failure to maintain monitoring , maintenance, and follow up action records . <br /> ZThis 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 : printed a copy of 2016 annaul Monitoring <br /> Certification and will keep a copy on site for inspection . (SSS ) updated 2018 annual Montitoring <br /> Certification and will have a copy on site . <br /> Violation #202 - Failure to maintain the " Facility Employee Training Certificate" on-site (after October 1 , <br /> 2018) ./ <br /> IJ 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 : Karen Arniaz was notified about filling out <br /> the facility employee training certificate correctly . moving forward it will be filled out properly <br /> according to standard regulation via state and federal laws . <br /> Violation #204 - Current monitoring plan approved by the EHD not found on site . <br /> M/ 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 : Monitoring plan was printed out from Cers and <br /> will have a copy onsite . <br /> i <br /> Page 2 of 3 <br /> E <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 ( T 209 468-3420 ( F 209 464-0138 1 www. sjcehd . com <br /> i <br />