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SAN J OAQ U I N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE : June 04 , 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 vvang- lee@sjgov. org . <br /> Facility name : fast and easy mart # 103 Submit completed form to : <br /> Facility address : 8660 LOWER SACRAMENTO RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181351 ATTN : VICKY YANG-LEE <br /> PR0231161 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #106 - Failure to submit and maintain a current facility plot plan / site map . <br /> 41' 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 : ` INAA0 hm%do o,r*� <br /> Violation # 107 - Failure to submit and maintain complete and current financial responsibility documents . <br /> A/ 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 : JIRZ A Y\04/J PJA*Z� <br /> 1 c, IV\, 4 z Fn er/ <br /> Violation #112 - Failure to have properly qualified service technician test leak detection equipment every 12 I <br /> months . {p� � (� 57 <br /> ❑ This violation was corrected This violation will be corrected by ( date) : Ivy , I ' IDYr1 <br /> ❑ Supporting documents included <br /> Desc i e actions taken or will betaken to correct violation : klw'c'�J <br /> Page 2 of 4 <br /> Rev. 9/16/2020 <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 />