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SAN J O A O U I N Environmental health Department <br /> 1 . . r <br /> Corrective Action Statement <br /> RE : October 12 , 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 Shewit Woidearegay at (209) 616-3063 or stwoldearegay@sjgov.org . <br /> Facility name : Plaza liquor and Gas Submit completed form to: <br /> Facility address: 2420 W TURNER RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181595 ATTN , SHEWIT WOLDEAREGAY <br /> PR0231382 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <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 /> �� I �� VVIDI�l ►�C� / KU�n I Yl i2 u i l l r kPCK Q I I ' <br /> S <br /> 01 <br /> Page 2 of 2 <br /> Rove 016.12020 <br /> 1868 E. Hazelton Avenue I Stockton , California 952051 T 209 468-34201 F 209 464-0138 I wwwsjgov .org/El-IU <br />