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SAN J 0 A Q U i N Environmental Health Department <br /> Corrective Action Statement <br /> RE: March 12, 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)468-0216 or stwoldearegay@sigov.org. <br /> MAIN STREET ARCO AM PM*, 1100 S MAIN ST, CERS ID: 10182243, PR0506504 <br /> Violation#209-Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. <br /> AThis 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: N0-1E9 1KE CO MIMENU A-1,1D ble C-U SLED <br /> V4k'[K ZNE DESVgWtE9 uS"[ 09ERIA-rolL .. ThE OtS14NA'CED 0 9 E 0.hT0PL, ALSO <br /> C—b%LLEU 1 1N4 N"b D\< c.v SSED Wj M 'TKZE LNSQ tC-T1D L, To 9f oV ttYE VISu kt. <br /> \N SQe C.-Tt011S NN fl (AR\N"MN WC1, dr- 4.e C-0 kt& <br /> Page 3 of 3 <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 vvnv.sjcehd.com <br />