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pl <br /> h; <br /> ci <br /> 1 O A U I N Environmental Health Department fr <br /> SAN Q <br /> ._._- -COUNTY- 'C <br /> Groctn%ss �roi-,s ;)ere. r <br /> C <br /> Corrective Action Statement Iy <br /> RE: May 23, 2022, Aboveground Petroleum Storage Act inspection report <br /> a <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, c <br /> please contact John Alaniz at(209)616-3053 orjalanizl@sjgov.org. <br /> Facility name: J&L MARKET <br /> Submit completed form to: c <br /> Facility address: 8115 S EL DORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180529 ATTN:JOHN ALANIZ <br /> PR0516364 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#103-Failed to file HMBP or annual facility tank statement. <br /> 0 This violation was corrected ❑This violation will be corrected by(date): �v L Z- <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#110-Failed to report program data in the California Environmental Reporting System(CERS). <br /> 8 This violation was corrected ❑This violation will be corrected by(date): �O )2-12-7- <br /> EI <br /> 2-122❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> -Thu bUG?S GGb'I"e d cLncl Sly-ami ( CP eek- 10#112-2- <br /> Violation <br /> 0 iz zz.Violation#112-Failure to complete and maintain a Substantial Harm Criteria certification. <br /> M <br /> / ❑ <br /> is violation was corrected This violation will be corrected by(date): <br /> documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 4 <br /> Rev.916/2020 <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 />