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Environmental Health Department <br /> ^ AgHUIA <br /> COUNTY <br /> Greatness grow; ;:ere. <br /> Corrective Action Statement <br /> RE: September 11, 2019, 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 Aaron Hang at(209)468-3453 or ahang@sjcehd.com. <br /> Submit completed form to: <br /> Facility name: 7-ELEVEN INC#14113 SJC ENVIRONMENTAL HEALTH <br /> Facility address: 3040 W BENJAMIN HOLT DR DEPARTMENT <br /> CERS ID: 10165777 ATTN:AARON HANG <br /> 1868 E HAZELTON AVENUE <br /> PR0506497 <br /> Violation#105-Failed to have an approved UST monitoring plan. <br /> ❑ 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 /> Violation#201 -Failure to maintain monitoring,maintenance,and follow up action records. <br /> ❑ 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 /> Violation#204-Current monitoring plan approved by the EHD not found on site. <br /> ❑ 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 /> Page 1 of 3 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />