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SA WAAW N Environmental Health Department <br /> r <br /> COUNTY- <br /> Corrective Action Statement <br /> RE: February 07, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation Submit this completed <br /> form with the Return to Compliance Certification wsthin 30 days of inspection If you have any questions, please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov org <br /> Facility name ARP MINI MART CORP Submit completed form to <br /> Facility address 25775 S PATTERSON PASS RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS lD 10181249 ATTN PAUL NSO <br /> PR0231708 1866 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation 4107-Failure to submit and maintain complete and current financial responsibility documents. <br /> kThis 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 �ti�Ct�CjC4 (e $f urs S ti,0' <br /> C�or"t"eNkS III)" befn Qfrnk-k anal ��k�rA tr USk 2r+23 <br /> Page 2 of 2 <br /> Oti OHFnf17f1 <br />