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Environmental health Depart ent <br /> SAN JOAUUIN <br /> Corrective Action Statement <br /> RE . April 175 2024 , Underground Storage Tank inspection report � <br /> For each violation listed below, indicate if the violation his 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 farm with the Return to Compliance Certification within 30 days of inspection , if you have any questions, <br /> please contact Vicky Vang-Lee at (2Q3) 616-3028 or vvang-Jee@sjgay.org .. <br /> WOOD B RIDG E GAS , MARKET & LIQ U OR5 18806 N LOWER SACRAMENTS RD, CERS ID : 10 <br /> Violation #115 - Failure to submit "Monitoring System Certification Form" within 30 days of completion of the <br /> test. <br /> ff/This violation was corrected 1:3 This violation will be corrected by (date) : <br /> Cl Supporting documents included <br /> Describe cti4ns taken or will he taken to correct violation . �'111r <br /> � <br /> w <br /> Violation #116 • Failure to submit the "Spill Container Testing Report Form" within 30 days. <br /> C(0011�Tihis violation was corrected [I This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe a ions taken or will be Taken to correct violation- <br /> Violation #117 - Failed to submit "Secondary Containment Testing Report Form " within 30 days after the test. <br /> /0 This violation was corrected 1:1 This violation will be corrected by date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> 6 <br /> re ) <br /> Page 3 of 5 <br /> Rev. cji16/?.024 <br /> 1 868 E, Hazelfon Avenue E S tockton , C�alIfornia 95205 j T 209 4+'a8-3420 F 209 464- 138 1 www.sjgov.orglEHD <br />