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ffOAQUIN Environmental Health Department <br /> SAW.- _ OUNTY-- <br /> , '. ` G atts crows her: . <br /> Corrective Action Statement <br /> RE: June 20, 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. 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 Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: RANCHO SAN MIGUEL MARKET' Submit completed form to: <br /> Facility address: 1427 S AIRPORT WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184829 ATTN: PAUL NSO <br /> PRO521942 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> 93"' 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: Jesus Jurado spoke with Renee the site Designated <br /> Operator about making sure all testing and repairs are documented on the UST monthly report. moving <br /> forward all testing will be reported on the D.O monthly report. <br /> Page 2 of 2 <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 />