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SAN 10A0UIN Environmental Health Department <br /> y <br /> COUNTY— <br /> Corrective Action Statement <br /> RE:January 25,2022,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 dale. 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 Elianna Florido at(209)6163050 or eflorido@sjgov.org. <br /> Facility name: ARCO STATION#826951' <br /> Submit completed form to: <br /> Facility address: 130 S WILSON WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181227 ATTN:ELIANNA FLORIDO <br /> PR0231861 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> ❑ This violation was corrected JXt his violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> 0-97 <br /> Page 2 of 2 <br /> nev.erta2ozo <br /> 1868 E.Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 I F 209 464-0138 1 wwwsjgov.org/EHD <br /> Scanned with CamScanner <br />