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SAN SIOAQUIN <br /> Environmental Health Department <br /> - -- - COUNTY <br /> Corrective Action Statement <br /> RE : December 16 , 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) 616-3049 or pnso@sjgov. org . <br /> fast and easy mart # 103 , 8660 LOWER SACRAMENTO RD , CERS ID : 10181351 , PR0231161 <br /> Violation #206 - Failure to have a current UST Response Plan available on site. <br /> ❑ This violation was corrected , This violation will be corrected by ( date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or wi I be taken to correct violation : <br /> � .M 0Q. \ \ e 16j AIA if <br /> AU-12 <br /> Violation #208 - Failure to comply with the designated operator inspection requirements . <br /> 0 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 /> wVVP\ flow 0 `n uO Q. S <br /> S ' wv� e.Nroe <br /> Su " Mn yr E � <br /> Violation #319 - Failure to comply with overfill prevention equipment requirements . <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe ado taken or will be taken to correct violation : <br /> 0%PPr( W LIJa-S JOY\ 12 (l l� l2 o C o OV ble <br /> Page 5of5 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 ( T 209 468-3420 F 209 464-0138 1 www. sjgov. org/EHD <br />