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c A� n A n I AI Environmental Health Department <br /> rrL hL� J-- ICS:ODUfNTY IV <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: December 17, 2024, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: ESCALON MINI MART Submit completed form to: <br /> Facility address: 1097 YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180561 ATTN: KRISTINA SAETERN <br /> PR0231497 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#3-2010013-Facility has submitted a complete and accurate UST Monitoring Plan.. <br /> M 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: The material was changed to steel from fiberglass <br /> for the USD section in UST monotoring plan in CERS. <br /> Violation#4-2010014-Facility has submitted a complete and accurate UST Response Plan.. <br /> I( 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: The information has been updated on the response <br /> plan and submitted in CERS under UST response plan. <br /> Violation#51 -2030035-UST system is operated to prevent unauthorized release, including spills and <br /> overfills. <br /> ❑ This violation was corrected This violation will be corrected by(date): 1/31/25 <br /> M/ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: We have ordered the replacement lids and they <br /> will be installed during our next DO monthly inspection. <br /> Page 2 of 5 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />