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SAN 10AQUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE : December 17 , 2019 , 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 form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions, please contact <br /> Shewit Woldeareqay at (209 ) 468-0216 or shvoldoaregayPslgov.orq . <br /> CITY GAS & LIQUOR , 16470 CAMBRIDGE ST, CERS ID : 10779784, PR0231532 <br /> Violation #201 - Failure to maintain monitoring, maintenance, and follow up action records . <br /> Q/ 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: ( bOL <br /> if co".03 <br /> Violation #209 - Failure to conduct the designated UST operator visual Inspection at least once every 30 <br /> days . <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 /> Violation #313 - Failure to construct, operate, and maintain primary containment as product•tlght . <br /> 15T 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 /> Page 3 of 4 <br /> Rar. 8/27/2019 <br /> 1868 E . Hazelton Avenue 1 Stockton , California 952051 T 209 468-34201 F 209 464 -0138 1 www . sjcehd .00m <br />