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S A N _. u AH I N Environmental Health Department <br /> _COUNTY <br /> Groot r-s grow: Frere. <br /> Corrective Action Statement <br /> RE: November 30, 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 Gabriela Garcia-Mejia at(209)616-3037 or ggarcia-mejia@sjgov.org. <br /> Facility name: GRIN INVESTMENTS INC DBA:ARCO AM/PM Submit completed form to: <br /> Facility address: 6009 N EL DORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10776040 ATTN:GABRIELA GARCIA-MEJIA <br /> PR0542116 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#205-Failure to submit and have current UST Monitoring Plan readily accessible at the facility. <br /> JW This violation was corrected This violation will be corrected by(date): 12-1 Z 2_ 2- <br /> Of Supporting documents included <br /> Describe actions taken or will be taken to correct violation: 44& U S,-T MO N t TDA:til)cr POW <br /> SAT -Ll b LOU`('0 CAU-17.�i i2.t 5 AT-T-WE n—V-I UT� <br /> Violation#307-Failure to keep water out of the secondary containment system(post-Jul 2003). <br /> A This violation was corrected jn This violation will be corrected by(date): 12-1, 2 2 1 2. 2.... <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: ff�L I TC I .C�l1)j C D 2S E CAS <br /> I -FI YI✓-0 ,,tykP c Q-7 4 13if:,`-.,C - i��� i�-c� � AV„ Q P wt ryY <br /> _��S.csZRrx-r <br /> Rev.9/16/2020 Page 2 of 2 <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 />