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SAN �� IIIN Environmental Health Department <br /> -COUNTY <br /> Greotness grows here. <br /> r. <br /> Corrective Action Statement <br /> RE: April 13, 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 Gabriela Garcia-Mejia at(209)616-3037 or ggarcia-mejia@sjgov.org. <br /> Facility name: 7-ELEVEN#38153 Submit completed form to: <br /> Facility address: 121 S CENTER ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10770799 ATTN: GABRIELA GARCIA-MEJIA <br /> PR0543446 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#105-Failure to submit a complete and accurate UST Response Plan. <br /> © 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 /> Response plan updated and submitted in CERS on 5/22/23. <br /> Violation#106-Failure to submit and maintain a current facility plot plan/site map. <br /> 0 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 /> Site map updated and submitted in CERS on 5/22/23. <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> 13 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 /> Future corrective actions to be attempted and submitted within set timeframe. <br /> Page 2 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 />