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S A N JOAQUIN Environmental Health Department <br /> C C)t.a N,T Y <br /> Corrective Action Statement <br /> RE: December 21, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@*gov.org. <br /> Facility name: ARCO AM/PM Submit completed form to: <br /> Facility address. 3443 CHEROKEE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10830655 ATTN:CAROL PRESTO <br /> PRO542573 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <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#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: 1�F--l�Y l S <br /> Violation;#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <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: r<Z ; C.r ti <br /> Page 2of3 <br /> Rev.WW2020 <br /> 1 abd E_ Hazelton Avenue 15tocklon, Galifumia 95205 1 T 209 468-3420 1 F 209 464-4136 1 www.sigov.org/EHD <br />