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;:� }' t `.'' •! , � , , S � N s ,,� � � A Q � � N Environmental Health Department <br /> ",y rxi , � p NTY ...._.... <br /> Grtntnes vows here . <br /> Corrective Action Statement <br /> F E : November 01 , 2019 , Underground Storage Tank inspection report <br /> For each violation listo I below , indicate if the violation has been corrected or will be corrected by a certain date . Also , <br /> describe what was dor : to correct the violation in the space provided below each violation . Submit this completed form <br /> with the Return to Con aliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Shewit Woldearegay a ( 209 ) 468- 0216 or slwoldearegay a, sjgov. orq . <br /> TRACY MARKET IVC , 15 E GRANT LINE RD , CERS ID : 10181019 , PR0231404 <br /> Violation #215 - Failui a to retain a copy of the permit to operate at the facility. <br /> k, This violatioi was corrected ❑ This violation will be corrected by (date ) : <br /> ❑ Supporting ( I muments included �- <br /> Describe actions I iken or will be take to correct violation : " G' �' ' ' <br /> �i���'S� <br /> Page 3 of 3 <br /> Rnv. h12112019 <br /> 1868 E . Hazellt n Avenue Stockton , California 95205 ( T 209 468- 3420 F 209 464 -0138 vnvw. sjcohd , com <br />