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SAN J OAQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: March 20, 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 within 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: PLAZA LIQUOR#1 <br /> Facility address: 800 S CHEROKEE LN Submit completed form to: <br /> CERS ID: 10181567 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> ATTN: PAUL NSO <br /> PR0231325 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> L� This violation was corroctod <br /> LIYThis violation will be corrected by(date): 2_(S Z!, <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> dC� L GUr7ec�r 0.�u•h� c�,� <br /> A � <br /> Violation#206-Failure to submit and have a current UST Response Plan readily available on site. <br /> EY This violation <br /> was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: _(J" Ve,':;�1ASe 10jeck <br /> C� Oil tole U�tIaCP� <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> EThis 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 /> A_L%%V 1aC)t L,) <br /> Page 2 of 3 <br /> Rov 0116/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov org/EHD <br />