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�l ►I��aAl I I N Environmental Health Department <br /> L-'r.`' j C:O U N T Y <br /> r o- Greotness grows here. <br /> Corrective Action Statement <br /> RE: May 07, 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 Shewit Woldearegay at(209)468-0216 or stwoldearegay(asigov.orq. <br /> TOKAY SHELL, 420 W KETTLEMAN LN # 1, CERS ID: 10767814, PR0544259 <br /> Violation#211 -No employee present that were trained in the operation and maintenance of the UST system <br /> by a DO. <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 /> Violation#215-Failure to retain a copy of the permit to operate at the facility. <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 /> Violation#320-Failure to comply with the installation, inspection,or record keeping of the overfill <br /> prevention. <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 /> Page 6 of 6 <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 />