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SAN JOAOU_ _ 1_ N. Environmental Health Department <br /> COUNTY <br /> -OP • - Greatness grows here . <br /> Corrective Action Statement <br /> RE ; March D8 , 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 vvarig fee@sjgay . arg <br /> COUNTRY MARKETPLACE , "1789 W CHARTER WAY , CERS ID : 10182247 , PR0506538 <br /> Violation #110 - failure to submit the " Underground Storage Tank Statomen# of Understanding and <br /> Compliance Form" . <br /> pEf This violation was corrected C This violat+ on wi11 be corrected by date}: <br /> Oe"_ Support-Ing documents included <br /> Describe actions taken or will be taken to correct violation : f"WO►j <br /> LOCI K V\ <br /> 7 IL <br /> Violation #122 - Fall ure to implement carrcctians and submit written response within 30 days of receiWing the <br /> report. <br /> ❑ This violation was corrected [3 This violation will he corrected by date}: <br /> D Supporting documents included <br /> Describe actions taken or 411 be taken to correct vialat�on , � [' <br /> r <br /> Violation #243 - failure to maintain monitoring records for 36 months and maintenance records dor 60 <br /> months. <br /> Q This violation was corrected E3 This violation will be corrected by (date) : <br /> EJ Supporting documents included <br /> Describe actions Taken or wi1l be taken to correct violations <br /> LON ? CYN <br /> 0\ Woo\ <br /> C) <br /> Page 3 of 4 <br /> Rev 911612020 <br /> 1868E Hazelton Avenue I Stockton , California 95205 T 209 468-3420 F 209 464 -0138 1 www sjgov orylEFlD <br />