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SANlOAQUIN Environmental Health Department <br /> <c <br /> —COUNTY--- <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE:August 25,2022,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. <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 Gabriela Garcia-Melia at(209)616-3037 or ggarcia-mejia@sigov.org. <br /> EI Dorado Food Mart,1901 S EL DORADO ST,CERS ID:10180839,PR0231092 <br /> Violation#118-Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will bA,,taken to correct viola on: <br /> 1 <br /> orn <br /> ----------------- <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> PC_ This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken oowill be to n to rect violation: r <br /> 6 J `1 1/ <br /> c <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> 4 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 /> V� t <br /> w � <br /> Page 3 of 4 <br /> WIRIM - <br /> 1868 E Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 F 209 464-0138 1, vdww.sjg <br />