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i <br /> RECEIVE ® <br /> The following is an itemized list of underground storage tank violations that' }iAKtA 2021 <br /> been addressed for MIRACLE MILE MARKET as of March ORV21 ,RON <br /> HEALTH <br /> r ERMIT/ SERVIC S <br /> Open violations from August 25 , 2020 inspection <br /> Violation # 107 - Failure to submit and maintain complete and current financial responsibility documents . <br /> OBSERVATION : Financial responsibility documents have not been submitted to the EHD . The most recent <br /> financial responsibility documents in CERS are dated 12/ 18/2017 . <br /> REGULATION GUIDANCE : Current financial responsibility documents are required to be submitted annually . <br /> CORRECTIVE ACTION : Immediately log into the California Environmental Reporting System ( CERS) at <br /> http ://cers . calepa . ca . gov/, and upload the required documents . <br /> ❑ This violation was corrected l� This violation will be corrected by (date ) : n <br /> ❑ Supporting documents included <br /> Describe actions <br /> /taken or will be taken to correct violation : <br /> Violation #115 - Failure to submit " Monitoring System Certification Form" within 30 days of completion of <br /> the test. <br /> OBSERVATION : A monitoring system certification and leak detector testing were performed on 08/25/2020 . A test <br /> report has not been submitted to the EHD or the California Environmental Reporting System ( CERS ) . <br /> REGULATION GUIDANCE : A copy of the test report must be submitted within 30 days of the test. <br /> CORRECTIVE ACTION : Immediately provide this report to the EHD . <br /> ❑ This violation was corrected IThis violation will be corrected by ( date) : cd <br /> ❑ Supporting documents included <br /> Describe actions taken or will betaken to correct violation : <br /> Violation #116 - Failure to submit the " Spill Container Testing Report Form " within 30 days after the test. <br /> OBSERVATION : Spill container testing were performed on 08/25/2020 . A test report has not been submitted to the <br /> EHD or the California Environmental Reporting System ( CERS) . <br /> REGULATION GUIDANCE : A copy of the test report must be submitted within 30 days of the test. <br /> CORRECTIVE ACTION : Immediately provide this report to the EHD . <br /> Page 1 of 4 <br />