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QNsJOAQUTA � Environmental Health Department <br /> COUNTY <br /> -�IY <br /> 1tC r <br /> Corrective Action Statement <br /> RE : October 28 , 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 Woldearegay at (209) 468-0216 or stwoldearegay@sjgov, org . <br /> QUIK STOP MARKET #3138 , 1153 LINCOLN BLVD , CERS ID : 10181059 , PR0231413 <br /> Violation #204 - Current monitoring plan approved by the EHD not found on site . <br /> LTJ 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 /> Monitoring plans have been provided to the Designated Operator and will be retained on site . <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> 0 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 /> For future visual inspection reports the Designated Operator will ensure that all sections are complete and all required information is <br /> included int e report . <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. sjcehd . com <br />