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SAN 10 A g U I N Environmental Health <br /> Corrective Action Statement <br /> RE: May 08, 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 Shewit Woldearegay at(209)616-3063 or stwoldearegay@sjgov.org. <br /> MORADA CHEVRON FAST N EASY#60*, 10878 N HWY 99, CERS ID: 10180717, PR0231598 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> td 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: taw- 10 <br /> Cq <br /> jee <br /> e-1 14 <br /> Violation#209-Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. <br /> xThis 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: h <br /> w , <br /> tv <br /> Y' h t rt <br /> Rev,9/1612020 <br /> Page 3of3 <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 />