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M � I � Environmental Health Department <br /> u <br /> '- -COUNTY— <br /> Greatness <br /> COUNT <br /> Greatness grows here, <br /> Corrective Action Statement <br /> RE: December 13, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Shewit Woldearegay at(209)616-3063 or stwoldearegay@sjgov.org. <br /> 7-ELEVEN INC #20632, 4627 DA VINCI DR, CERS ID: 10165883, PR0231074 <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving <br /> the report. <br /> IKI 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: Future corrective actions will be requested within <br /> the required timeframe and will be submitted to your agency once completed. <br /> Page 3 of 3 <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 />