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SAN 10AQU1N Environmental Health Department <br /> COUNTY <br /> Gre (j ! nr ' ) s .(YowC leerc . <br /> Corrective Action Statement <br /> RE : December 02 , 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 . Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Shewit Woldeareqay at (209) 468- 0216 or stwoldearegaVRsjgov . orq . <br /> NORTH POLE GAS & FOOD INC , 574 W GRANT LINE RD , CERS ID : 10181065 , PR0231405 <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included �� <br /> Kq 0j! <br /> Describe actions taken or will be taken to correct violation : � i <br /> Page 3 of 3 <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 . sjceh . com <br />