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A � �J arQ ( N Environmental Health Department <br /> COU NTY <br /> here . <br /> Corrective Action Statement <br /> RE : May 28 , 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 . 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 Woldearegay at (209 ) 468-0216 or stwoldearegay@sjgov. org . <br /> MORADA CHEVRON FAST N EASY #60* , 10878 N HWY 99 , CERS ID : 10180717 , PR0231598 <br /> Violation #121 - Failure to implement corrections and submit written response within 30 days of receiving <br /> the report. <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 : <br /> f7om Novi on WtU lqe� 2�EIOOAIE u-jI l� vq� �JO ouG <br /> Violation #201 - Failure to maintain monitoring , maintenance, and follow up action records . <br /> ❑ This violation was corrected This violation will be corrected by (date) : <br /> ❑ Supporting documents included I I I <br /> Describe actions taken or will be taken to correct violation : <br /> Violation #202 - Failure to maintain the " Facility Employee Training Certificate" on -site (after October 1 , <br /> 2018) . <br /> )z 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 /> �Oy*m Y\t) W 0 IV\ we. mgk Sv1NE, A\e �0r <br /> Page 4 of 6 <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 />