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SNlOAQUIN Environmental Health Department <br /> t» <br /> W COUNTY _ r <br /> �� tF • GfL' t? ti1; E57 JiCtY � �i £} f�' , <br /> Corrective Action Statement <br /> RE : October 26 , 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 Shewit Woldearegay at (209) 616-3063 or stwoldearegay@sjgov .org . <br /> Facility name: ARCO AM PM #82602* Submit completed form to : <br /> Facility address : 2430 JOE POMBO PKWY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10182265 ATTN : SHEWIT WOLDEAREGAY <br /> PR0506796 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #208 - Failure to comply with the designated operator inspection requirements . <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date) : <br /> i! Supporting documents included <br /> Describe action, s <br /> �1t�akenorwillllbe`taken to ncorrect violation : 'IYL4 �tW7c <br /> �VY10 "- RSH culil4i I (, <br /> Page 2 of 2 <br /> Rev. 9/1612020 <br /> 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468-3420 1 F 209 464-0138 1 www. sjgov. org/EHD <br />