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SAN J OAQ U I N Environmental Health Department CQUNITY Corrective Action Statement RE : January 08 , 2020 , Underground Storage Tank inspection report For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date . Also , describe what was done to correct the violation in the space provided below each violation . Submit this completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact Shewit Woldearegay at (209) 468-0216 or stwoldearegay@sjgov. org . Facility name: ERNIES GENERAL STORE Submit completed form to : Facility address : 4407 E WATERLOO RD SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID : 10180913 ATTN : SHEWIT WOLDEAREGAY PR0231761 1868 E HAZELTON AVENUE STOCKTON , CA 95205 Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 days . ❑ This violation was corrected ❑ This violation will be corrected by (date) : ❑ Supporting documents included Describe actions taken or will be taken to correct violation : Violation #313 - Failure to construct, operate , and maintain primary containment as product-tight. ❑ This violation was corrected ❑ This violation will be corrected by (date) : ❑ Supporting documents included Describe actions taken or will be taken to correct violation : Violation #316 - Secondary containment not constructed to prevent water intrusion (after Jul 2003) . ❑ This violation was corrected ❑ This violation will be corrected by (date) : ❑ Supporting documents included Describe actions taken or will be taken to correct violation : Page 2 of 2 Rev. 8/27/2019 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www. sjcehd . com