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Environmental Health Department <br />Corrective Action Statement <br />RE: April 13, 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 date. <br />Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br />completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br />please contact John Alaniz at (209) 616-3053 or jalaniz1@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: JOHN ALANIZ <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to:7-ELEVEN INC #32190 <br />10166017 <br />4943 S HWY 99 <br />PR0506488 <br />Violation #101 - Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit <br />fees. <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 />Violation #117 - Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test. <br />¨ This violation will be corrected by (date):  This violation was corrected ¨ <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Violation #118 - Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days. <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 />Page 2 of 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />See letter from Tanknology <br />attached. <br /> <br /> <br />Issue discussed with Accounts Payable to prevent late submittal of fees <br />Secondary Containment testing results were sent to CUPA on 2/4/22 by Tanknology. <br />Please check your records.