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SAW] HOUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE: October 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. 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 /> Facility name: ARCO CHEROKEE GAS & MART* Submit completed form to: <br /> Facility address: 900 S CHEROKEE LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180627 ATTN : CAROL PRESTO <br /> PR0231841 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #104 - Failure to have an approved UST Monitoring Plan . <br /> This violation was corrected ❑ This violation will be corrected by (date) : &21 q 'ZQ <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: U S /` 16 ®11 �Mrc; ^ <br /> i s cmf z <br /> Violation #106 = Failure to submit and maintain a current facility plot plan / site map. <br /> This violation was corrected ❑ This violation will be corrected by (date): 4)- e.GG <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: lzr' mck nns <br /> 4 <br /> Violation #107 = Failure to submit and maintain complete and current financial responsibility documents. <br /> This violation was corrected ❑ This violation will be corrected by (date): j <br /> ❑ Supporting documents included �j <br /> Describe actions taken or will be taken to correct violation : IN\le. .i Rnfinger\r} SC 9,¢s <br /> Page 2 of 4 <br /> Rev. 9116/2020 <br /> 1868 E . Hazelton Avenue i Stockton , California 95205 1 T 209 468-3420 1 F 209 4640138 1 www,sjgov.org/EHD <br />