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SAN a N Environmental Health Department <br /> COUNTY <br /> Greuf ; Ae . , r; . . <br /> Corrective Action Statement <br /> RE : November 18 , 2020 , 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 /> Vicky Vang-Lee at (209 ) 616-3028 or . <br /> Facility name : GRIN INVESTMENTS INC DBA: ARCO AM/PM Submit completed form to : <br /> Facility address : 6009 N EL DORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10776040 ATTN : VICKY VANG- LEE <br /> PR0542116 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #104 - Failure to have an approved UST Monitoring Plan . <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 /> V n off( (—D To C.�� e <br /> Violation #105 - Failure to have an approved UST Response Plan . <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 /> Violation #106 - Failure to submit and maintain a current facility plot plan / site map . <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 /> Page 2 of 6 <br /> Rev. 9/16/2020 <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 />