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AN 1 a A Q U I N Envh xmi, e[rot,:ec:A rdeoaar h Depanau n',K <br />C LINTY <br />Corrective Action Statement <br />RE: October 27, 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 Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br />QUICKI KLEEN cAR WASH, 707 E YOSEMITE AVE, CERS ID: 10182307, PR0505151 <br />Violation #118 -Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days. <br />❑ This violation was corrected <br />® Supporting documents included <br />This violation will be corrected by (date): S\m\ I; <br />Describe actions taken or will be taken to correct violation: l' <br />Violation #122 - Failure to implement corrections and submit written response within 30 days of receiving the <br />report. <br />❑ This violation was corrected <br />❑ Supporting ocumenM inoluded <br />LJ°This violation will be corrected by (date): Pa(G1/ , r r c� <br />Describe actions taken or will betaken to correct violation: <br />Violation#206 -Failure to have current UST Monitoring Plan readily accessible at the facility. <br />M This violation was corrected ❑ This violation will be corrected by (date): <br />Rev. 9/16/2020 <br />❑ Supporting documents included <br />Describe actions taken or will betaken to correct violation: <br />Page 4 of 5 <br />'18613 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />