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SAN J OAQU I N Environmental Health Department <br /> C= C) UJ N T Y <br /> Corrective Action Statement <br /> RE : May 23 , 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 fol <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Shewit Woldearegay at (209 ) 616-3063 or stwoldearegay@sjgov . org . <br /> Facility name : SRH FOOD & GAS INC Submit completed form to: <br /> Facility address : 749 E DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181497 ATTN : SHEWIT WOLDEAREGAY <br /> PR0231060 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #122 - Failure to implement corrections and submit written response within 30 days of receiving <br /> the report. <br /> ❑ This violation was corrected ❑ This violation will be corrected by ( date ) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will btaken to correct violation : <br /> cl") <br /> Violation #208 - Failure to comply with the designated operator inspection requirements . <br /> ❑ This violation was corrected 11This violation will be corrected by ( date ) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will <br /> be taken to correct violation : <br /> Violation #209 - Failure to maintain a copy of the " Facility Employee Training Certificate" on-site . <br /> ❑ This violation was corrected 11This violation will be corrected by ( date ) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2 of 2 <br /> Rev, 9/16/2020 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 -3420 1 F 209 464 -0138 1 www . sjgov . org/ EHD <br />