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SAN . JOA U I N Environmental Health Department <br /> Q <br /> - COQ) NTY - <br /> Corrective Action Statement <br /> RE : September 23, 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 Paul Nso at (209 ) 468-3432 or pnso@sjgov. org . <br /> EI Dorado Food Mart, 1901 S EL DORADO ST, CERS ID: 10180839 , PR0231092 <br /> ' Violation #201 - Failure to maintain monitoring , maintenance , and follow up action records . <br /> 121� 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 /> 4Lc_ <br /> nisi 1FL � <br /> Violation #205 - Failure to submit a current UST Response Plan and have it available onsite . <br /> Q' 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 : rbc vmf�T Gcl.�S S�� t-o0 <br /> #4q L S c) 9E. %N C t v .D Orb i n , TN vrn ou ,9 ,uc E 8/N Awe <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> ❑ This violation was corrected L2"fhis violation will be corrected by ( date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : �o �- � <br /> EPJ <br /> Page 4 of 6 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue i Stockton , California 95205 T 209 468 - 3420 1 F 209 464-0138 1 www. sjcehd. com <br />