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r.-VI 10AQUIN Environmental Health Department <br /> W Li <br /> COUNTY — <br /> s ;, ti' Greotness grows here. <br /> Corrective Action Statement <br /> RE: September 27, 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 Shewit Woldearegay at(209)616-3063 or stwoldearegay@sjgov.org. <br /> SAFEWAY FUEL CENTER#0055, 19533 S MOUNTAIN HOUSE PKWY, CERS ID: 10902574, P <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> M 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: All test results provided by the installing <br /> contractor were emailed to the station and they were printed out and filed in the records <br /> retention binder. <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> ❑ This violation was corrected IN This violation will be corrected by(date): 10/11/2023 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: The Designated Operator is aware of the <br /> issue and will correct it on 10/11/2023 during their regularly scheduled inspection. <br /> Violation#304-Failure to construct,operate,and maintain primary containment as product-tight. <br /> IN 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: The residue was cleaned up the day of the <br /> monitor cert. This UDC has not any liquid noted during any recent DO inspections. The residue <br /> is likely from drips during filter changing. The maintenance contractor has been reminded <br /> to thoroughly clean up any drips during filter changes. <br /> Page 3 of 4 <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 />