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SAN 'JOAQUIN Environmental Health Department <br />COUNTY- <br />Corrective Action Statement <br />RE-. November 23, 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) 616-3049 or pnso@sjgov.org. <br />A&A GAS FOOD MART,1330 E YOSEMITE AVE, CERS la 10184191, PRO616864 <br />Violation #118- Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days. <br />I2""This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taakke,,n to correct violation: <br />z <br />Violation #122 - Failure to implement corrections and submit written response within 30 days of receiving the <br />report. <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 />3 <br />Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br />months. <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 rrect violati n: <br />i� ca ,-�ei✓' Sj oh t 2-a <br />Page 3 of 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov org/EHD <br />