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S Q N .J OAQ U I N Environmental Health Department <br /> _ . . C 0 to N, T Y <br /> Corrective Action Statement <br /> RE : December 21 , 2020 , 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 : ARCO AM/PM Submit completed form to : <br /> Facility address : 3443 CHEROKEE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10830655 ATTN : CAROL PRESTO <br /> PRO542573 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 /> Violation 9202 - Failure to retain a paper or electronic copy of the permit to operate at the facility . <br /> p� This violation was corrected ❑ This violation will be corrected by (date ) : <br /> !l/7� Supporting documents included 7� / <br /> Describe actions taken or will be taken to correct violation : �E �YyR 1 I s C t� S j /tom <br /> Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months . <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 : IZer%� r Cr <br /> Page 2 of 3 <br /> Rev. 9! 16(2020 <br /> 1868 E . Hazelton Avenue I Stockion , California 952051 T Z09 408- 34201 F 209 464 -0136 1 www . sjgov . urg/ EHD <br />