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SAN J O A Q U I N Environmental Health Department <br /> r; - COU NTY-- <br /> C;„ y Greatness grows berg. <br /> Corrective Action Statement <br /> RE: June 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. 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#124 Submit completed form to: <br /> Facility address: 505 N MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182107 ATTN: CAROL PRESTO <br /> PR0231442 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 /> The financial responsibility document was sent to site and will be kept in the onsite binder. In the future <br /> the current financial responsibility documents will be maintained and kept onsite. <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <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 /> For future designated operator reports inspections will be conducted within the required time frame and all <br /> of the required information will be included in the report. Future designated operator reports will be <br /> completed and signed within te required timeframe. <br /> Violation#209-Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. <br /> 13 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 /> Future Facility Employee Training Certificates will contain accurate information on the document. <br /> Page 2 of 3 <br /> Rev.9/16/2020 <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 />