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r - - - <br /> Environmental Health Department <br /> SAN JOAQUIN <br /> COUNTY <br /> Corrective Action Statement <br /> RE : October 13 , 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 form <br /> 30 days of inspection . If you have any questions , please contact <br /> with the Return to Compliance Certification within <br /> Shewit Woldearegay at ( 209 ) 616-3063 or stwoldearegay@sjgov . org . <br /> Sunwest Chevron , 2758 W Kettleman Ln , CERS ID : 10748068 , PR0541416 <br /> Violation #110 - Failure to submit the " Underground Storage Tank Statement of Understanding and <br /> ` Compliance Form " . <br /> l �This violation was corrected 11This violation will be corrected by (date) : <br /> ) I � <br /> ]} 1 J-z► �- J <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> I <br /> Violation #115 - Failure to submit " Monitoring System Certification Form " within 30 days of completion of the <br /> 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 to correct violation : <br /> 6112- N u , <br /> C <br /> I <br /> Violation #116 - Failure to submit the " Spill Container Testing Report Form " within 30 days . <br /> M 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 3 of 7 <br /> Rov. 9/16/2020 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464 -0138 1 www . sjgov . org /EHD <br />