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SAWJOAQUIN Environmental Health Department <br /> wcoyU14TY <br /> Corrective Action Statement <br /> RE : January 14 , 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 pnso@sjgov. org . <br /> 76 EXPRESS TIGER No 1 , 5777 S FRENCH CAMP RD , CERS ID : 10182157, PRO505746 <br /> Violation #204 - Current monitoring plan approved by the EHD not found on site. <br /> Er/iThIs violation was corrected ❑ This violation will be corrected by (date ) : <br /> ❑ Supporting documents included l � �s , ✓1 <br /> Describe actions taken or will be taken to correct violation : r <br /> Violation #207 - Failed to record unauthorized release from primary containment. <br /> Iii'" This violation was corrected ❑ This violation will be corrected by ( date) : <br /> ❑ Supporting documents included <br /> Describe actions t en or will betakento correct violation64" Qll/d <br /> : <br /> 0 JL <br /> .�/ 00 IAJAk <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <br /> W 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 /> 1CL��-G <br /> i <br /> t <br /> E <br /> i <br /> Page 4 of 4 <br /> Rev, 8/2712019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 ( T 209 468-3420 i F 209 464-0138 1 www, sjcehd. com <br /> l <br />