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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231216
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COMPLIANCE INFO_2021
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Last modified
8/17/2021 1:13:46 PM
Creation date
1/29/2021 11:53:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN 10 A Q U I N Environmental Health Department <br /> C00NTY <br /> Corrective Action Statement <br /> RE : February 09 , 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 /> SHOP N GO 3 , 4511 PACIFIC AVE , CERS ID : 10180943 , PR0231216 <br /> Violation # 5 - Failure to have current UST Monitoring Plan readily accessible 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 � e eh � Y NVI, 6 o ' 1 <br /> Violation #208 - Failure to comply with the designated operator inspection requirements . <br /> 43 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 /> 0.*4N CO CLp e> 'Y1 C1 (A 0 ( - LA Y%o% -e� <br /> Page 4 of 4 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 I www . sjgov . org/EHD <br />
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