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i <br /> ; HitI �Utt <br /> 37 + Ut�sFtT YV t Environmental Health Department <br /> . <br /> rsta Gr,-otness grows Frere, <br /> Corrective Action Statement <br /> RE: January 05, 2021, 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 Vicky Vang-Lee at(209)616-3028 or Wang-lee@sjgov.org. <br /> Facility name: 76 EXPRESS TIGER NO 1 Submit completed form to: <br /> Facility address: 5777 S FRENCH CAMP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182157 ATTN: VICKY VANG-LEE <br /> PRO505746 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 /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: 010 -142A alo a <br /> aolA_ <br /> (j dr <br /> Violation#306-Failure to remove,analyze,and properly dispose of water in secondary containment(pre-Jul <br /> 2003)CV/This <br /> . /� <br /> CV 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: J LP a,� 24 MiQui <br /> Page 2 of 2 <br /> Rev.9116/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />