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Environmental Health Department <br /> � > OA <br /> ' t.1s Thr <br /> +Cstiea nal gr >rrz 6ON. <br /> Corrective Action Statement <br /> RE: November 03, 2021 , 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) 616-3063 or stwoldearegay@sjgov.org. <br /> A&A GAS FOOD MART, 1330 E YOSEMITE AVE, CERS ID* 101841911w PR0515864 <br /> Violation #205 - Failure to have current UST Monitoring Plan readily accessible at the facility$ <br /> E1 This violation was corrected 0 This violation will be corrected by (date): ,/1, a fl /N <br /> O Supporting documents Included <br /> Describe actions taken or will be taken to correct violation: a CD' <br /> a _ ellzj a Sof' MJorlYl[ �9?J !' <br /> , <br /> A o 44 hip <br /> n nea &±. <br /> 0 OF Coe <br /> OF <br /> Violation #208 - Failure to comply with the designated operator inspection requirementse <br /> oeooihis violation was corrected 13 This violation will be corrected by (date): <br /> O Supporting documents Included " <br /> Describe actions taken or will be taken to correct violation : <br /> - rU <br /> (491 S <br /> Violation #214 • Failure to comply with UST operating permit conditions. <br /> t This violation was corrected 0 This violation will be corrected by (date) : <br /> 13 Supporting documents Included <br /> Describe actions taken or will be taken to correct violation: <br /> ✓' <br /> .14 <br /> a „ <br /> Page 5 of 6 <br /> Rev. 6HEI2020 I <br /> 1868 E . Hazelton Avenue i Stockton , California 95205 1 T 209 468=3420 1 F 209 464-0138 1 www,sjgov.org/EHD <br />