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SAN J O A R ! N Environmental Health Department <br /> Ni ;r <br /> 7 _ <br /> Corrective Action Statement <br /> RE: February 22, 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 <br /> Also, describe what was done to correct the violation 'n 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 Vicky Vang-Lee at(209)616-3028 or vvang-Iee@sjgov.org. <br /> QUICK N EASY MART, 2057 S El_ DORADO ST, CERS ID: 10181361, PR0231083 <br /> Violation#110 -Failure to submit the "Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> R 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 /> Violation#202 -Failure to retain a paper or electronic copy of the permit to operate at the facility. <br /> 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 /> WAITING FOR EHD TO PROVIDE COPY OF PERMIT <br /> Violation#203 -Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> 0 This violation was corrected This violation will be corrected by(date): 03/29/2021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation <br /> WAITING FOR ALL RECORDS FROM AFFORDA-TEST ON 0312612021 . <br /> WILL EMAIL TO EHD ON 03/29/2021 <br /> Page 4 of 6 <br /> Rev.911612020 <br /> 1868 E. Hazelton Avenue i Stockton. California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />