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SANkJOAQUIN Environmental Health Department <br /> C r" N Y <br /> " G <br /> Corrective Action Statement <br /> RE: July 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 Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: WINE COUNTRY STATION/7-ELEVEN Submit completed form to: <br /> Facility address: 1111 E KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERSID: 10182257 ATTN:VICKY VANG-LEE <br /> PR0506724 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#112-Failure to have properly qualified service technician test leak detection equipment every 12 <br /> months // <br /> Tl7 his 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 /> W m S. R i fdck .-eS R <br /> _C.oa�rJ Le � 1. C> kms-, L, - . <br /> Violation#318-Failed to meet spill container requirements. <br /> a- 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 /> nCl<faN Yl E Y Y10�s bex.�n ('Er V� l c'.. CP C.l `W\vr`4.. C, <br /> Page 2 of 2 <br /> Rev.9/16/1020 <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 />