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: SAN JOAQUIN Environmental Health Department <br /> Greotness grows here, <br /> Corrective Action Statement <br /> RE: February 24, 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 /> Facility name: A&A GAS&FOOD MART Submit completed form to: <br /> Facility address: 16 E HARDING WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181239 ATTN:VICKY VANG-LEE <br /> PR0231136 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation <br /> #104-Failure to have an approved UST Monitoring Plan. <br /> a 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: U,3T t o 4Z r I <br /> an 211y 1 z 1 <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> 2onThis violation was corrected ❑This violation will be corrected by(date): <br /> I21""'Supporting documents included <br /> Describe actions taken or will be taken to correct violation: N-e—L-3 t <br /> W &J U h to C 'h C2(_� y ) -73 1 ( T/' JY LED U <br /> Ic k i �c �'� 31 I 'P(2 j <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report.� <br /> ff This violation was corrected ❑This violation will be corrected by(date): <br /> GK—Supporting documents included <br /> Describe actions taken or will be taken to correct violation: (.0-1,A -e c / ' J v--' <br /> o-r.-- l�c�c <br /> U C v t <br /> fL <br /> Page 2 of 3 <br /> Rev.9/16/2020 <br /> Y�-� ���ti� .•'� �j(y�z� � J <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 />