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COMPLIANCE INFO_2021
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PR0231476
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COMPLIANCE INFO_2021
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Last modified
12/28/2021 1:07:55 PM
Creation date
5/4/2021 8:00:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231476
PE
2361
FACILITY_ID
FA0000684
FACILITY_NAME
QUIK STOP MARKET #125
STREET_NUMBER
1580
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
259-090-21
CURRENT_STATUS
01
SITE_LOCATION
1580 W MAIN ST
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN J O A Q U I N Environmental Health Department <br />_ fir; - COU NTY-- <br />C ;„ y Greatness grows berg. <br />Corrective Action Statement <br />RE: June 02, 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. 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@sjgov.org. <br />Facility name: QUIK STOP MARKET #125 Submit completed form to: <br />Facility address: 1580 W MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10180643 ATTN: CAROL PRESTO <br />PR0231476 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #107 - Failure to submit and maintain complete and current financial responsibility documents. <br />IN This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Current Financial Responsibility documents have been provided to site and will be kept in onsite binder. <br />Violation #208 - Failure to comply with the designated operator inspection requirements. <br />IN This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />The Designated Operator will ensure that future reports are submitted within the required timeframe <br />and will include all of the required information on the report. <br />Violation #209 - Failure to maintain a copy of the "Facility Employee Training Certificate" on-site. <br />Rev. 9/16/2020 <br />C This violation was corrected ❑ This violation will be corrected by (date): <br />C Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />The training record has been updated and future records will contain all of the required information. <br />Page 2 of 3 <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 />
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