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SAN J 0 A Q U I N Environmental Health Department <br /> U N I Y <br /> Corrective Action Statement <br /> RE : January 18 , 2023, 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 Kristina Saetern at (209) 616-3045 or ksaetern@sjgov.org. <br /> KWIK SERV LODI BW 113*, 420 W KETTLEMAN LN, CERS ID : 10181407, PR0231906 <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: t <br /> Violation #306 - Failure to remove, analyze, and properly dispose of water in secondary containment (pre-Jul <br /> 2003). <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 /> Page 3 of 3 <br /> Rev. 9/1612020 <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 />