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r, SIN <br /> ANJ 0 AQ I I Environmental Health Department <br /> i'� CDUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: August 16, 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 /> PACIFIC AVE, 6131 PACIFIC AVE, CERS ID: 10180905, PR0231223 <br /> Violation#206-Failure to submit and have a current UST Response Plan readily available on site. <br /> 10 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: A electronic copy of the attached <br /> UST Response Plan was placed on the sites tablet and is now available for review by any future inspector <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> 9 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: All attached DO inspection reports were reviewed <br /> and signed by the site operator. See attached. <br /> Page 5 of 5 <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 />