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SAN JOAQUIN <br /> Environmental Health Department <br /> C <br /> ' 'Y <br /> Corrective Action Statement <br /> RE: September 07, 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 in 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-lee@sjgov.org <br /> SHORT STOP FOOD MART, 20 W TURNER RD#A, CERS ID: 10180633, PR0231380 <br /> Violation#210-Failure to provide initial training,train every 12 months,and have a trained employee <br /> present <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents includedCU <br /> 4 <br /> Desc be actions taken or will be taken to correct violation <br /> L Ll 14 V <br /> Violation#319-Failure to comply with overfill prevention equipment requirements, <br /> i>tl f <br /> ❑ This violation was corrected C9 This violation will be corrected by(date): <br /> ❑ Supporting documents included [1` "W <br /> Describe actions taken or will be taken to correct violation M <br /> Qb <br /> awAi�L fru „Iv <br /> Page 3 of 3 <br /> Rev enrSrmzo <br /> 1 B68 E.Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www sjgov.org/EHD <br />