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Received by EHD (EF) on 1/31/2022 <br /> ''. Environmental Health Department <br /> SAN.JOAQUIN <br /> C 0 ki N T Y.._ <br /> Corrective Action Statement <br /> RE: Docombor 28, 2021, Undorground 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 /> centact Elianna Fiorido at(209)616-3050 or efloddo@sjgov.org. <br /> ADELFO'S ARCO AM/PM, 3443 CHEROKEE RD, CERS ID: 10830655, PRO542573 <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> This violation was corrected 0 This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: r Le(f <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; U-,t UL ��. rF' ,c—. cls <br /> V Icft <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 /> Q Supporting documents included <br /> Describe actions taken or will be taken to correct violation: A lJ �-/ [ L <br /> at \Y\ rt C <br /> Page 3 of 4 <br /> Rev.9/laaO2Q <br /> 1868 E.Hazelton Avenue i Stockton,California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />