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� 1If1 �AI Environmental Health Department <br /> 11 V N <br /> u _ <br /> r Greatness grows Bete, <br /> Corrective Action Statement <br /> RE: July 01, 2025, 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 /> Alberto Fernandez at(209)616-3037 or. <br /> Facility name: QUIK STOP MARKET#076 Submit completed form to: <br /> Facility address: 1030 S OLIVE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180695 ATTN:ALBERTO FERNANDEZ <br /> PR0231704 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#3-2010013-Facility has submitted a complete and accurate UST Monitoring Plan.. <br /> 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: <br /> The updated UST Monitoring Plan has been submitted into CERS. <br /> Violation#69-2030033-A current UST monitoring plan has been submitted and is readily accessible at the <br /> facility. <br /> 0 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: <br /> The UST Monitoring has been corrected and submitted and sent to site to maintain in their binders. <br /> Page 2 of 2 <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 />