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CL� Cm ; <br /> S �' t4c i <br /> environmental Health Department <br /> SAN JOA UIN <br /> c0UIWTY <br /> JAC.o r ! <br /> Corrective Action Statement <br /> RE : April 26 , 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 . Also, <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions, please <br /> contact Paul Nso at (209) 616-3049 or pnso@sjgov. org . <br /> DINO MART, 1001 E YOSEMITE AVE , CERS ID : 10180593 , PR0231876 <br /> Violation #117 - Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test. <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken tocorrect violation : <br /> ` tvr) <br /> Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months . <br /> EJ 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 #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: <br /> ic C4� ,: <br /> Page 4 of 5 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468-34201 F 209 464-0138 1 www. sjgov. org/EHD <br /> I <br />