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.rMt Environmental Health Department <br /> SA NJOA00.1 N. <br /> ..a <br /> g�ry¢ T Y•naFrar.roma <br /> {, Y GredtAtsl growl htare. <br /> i <br /> Corrective Action Statement <br /> RE: September 29, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> i <br /> Facility name: Marks Fuel&Food, Inc. Submit completed form to: <br /> i <br /> Facility address: 880 E VICTOR RD SJC ENVIRONMENTAL HEALTHI DEPARTMENT <br /> CERS ID: 10181491 ATTN. CAROL PRESTO <br /> PR0231746 1868 E HAZELTON AVENUE i <br /> STOCKTON, CA 95205 <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> II <br /> This violation was corrected ❑This violation will be corrected by(date): I 1 1 X, 2© <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: pC)Ccc d 0 rN I C X25 <br /> i <br /> j <br /> 1 <br /> 1 <br /> i <br /> j <br /> Violation#116-Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test.�9,-4h <br /> 1❑/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: -77 W r PrlC.r ke <br /> -tom , 1r <br /> 1 <br /> i <br /> Violation#116-Failure to submit the"Spill Container Testing Report Form"within 30 days after the test. <br /> This violation was corrected 11 This violation will be corrected by(date): 7-0 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: _ c� n ry-)C�f2e­' I_1 Gine_ <br /> t7 d hn r Ac-i2o L� fi !r1 a <br /> Page 2 of 3 <br /> Rev.9/1 612 02 0 <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 />