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SAN J O A Q U I N Environmental Health Department <br /> r; - COU NTY-- <br /> C;„ y Greatness gr�ow5 Frere. <br /> Corrective Action Statement <br /> RE: July 28, 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: S B GAS&MARKET Submit completed form to: <br /> Facility address: 515 W ELEVENTH ST STE 301 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181209 ATTN: CAROL PRESTO <br /> PR0231400 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failure to submit a complete and accurate application for a permit to operate a UST. <br /> ❑ This violation was corrected ®This violation will be corrected by(date): 08/09/2021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Application process has started <br /> Created a CDTFA username and password. We will recieve a code via USPS within 10 <br /> business days. Cers will be updates as soon as the application process is completed. <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> ❑ This violation was corrected W This violation will be corrected by(date): 08/10/2021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Financial responsibility documents will be <br /> uploaded to Cers by 08/10/2021. <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> ❑ This violation was corrected 6a This violation will be corrected by(date): 08/10/2021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: We will ensure that the corrections and <br /> submittlals will be done before the 30 day period following the date of inspection <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 />