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'c' <br /> SAKJ a An I I I Environmental Health Department <br /> �iL COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: April 15, 2020, 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. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Paul Nso at(209)468-3432 or pnsopsigov.orq. <br /> QUIK STOP MARKET#3132*, 3555 W HAMMER LN, CERS ID: 10180893, PR0231130 <br /> Violation#201 -Failure to maintain monitoring, maintenance, and follow up action records. <br /> EY 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 2018 Monitoring System Certificate has been provided to the site and is attached. <br /> Violation#209-Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. <br /> CN 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 /> Moving forward the Designated Operator will ensure that all required information is included on the visual <br /> reports for this site. <br /> Violation#215-Failure to retain a copy of the permit to operate at the facility. <br /> D 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 /> PTO was provided to the site. <br /> Page 3 of 4 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />