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SKJOAQUIN Environmental Health Department <br /> . � . <br /> ' +x•11' <br /> —COU T Y <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: May 18, 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 /> QUIK STOP MARKET #2121, 1196 W LOUISE AVE, CERS ID 10180667, PR0231430 <br /> Violation#201 - Failure to maintain monitoring, maintenance, and follow up action records. <br /> l[9 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: The Monitoring System Certificate for 5/21/2019 <br /> and the Secondary Containment Report for 8/05/2019 has been provided to the DO to maintain onsite and <br /> has been sent to the EHD. <br /> Violation#205- Failure to submit a current UST Response Plan and have it available onsite. <br /> [X 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: The UST Response Plan has been provided to <br /> the DO to maintain onsite. <br /> Violation #209- Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. <br /> a 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: For future visual inspection reports designated <br /> operator will ensure that all of the required information is included within the required timeframe. <br /> Page 3 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 />