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�i C noir©nr-nental Health Department <br />_0 t'l,ITY <br />Corrective Motion Statement <br />RE: December 18, 2020, 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 />With the Return to Compliance Certification within 34 days of inspection. If you have any questions, please contact <br />Stacy Rivera at or srivera@sjgov.org. <br />ESCALON MINI MART, 1097 YOSEMITE AVE, CERS ID. 10180561, PR0231497 <br />Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br />months. <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 />Violation 0208 - Failure to comply with the designated operator inspection requirements. <br />D This violation was corrected El This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: + l L — <br />Violation #209 - Failure to maintain a copy of the "Facility Employee Training Certificate" on-site. <br />❑ This violation was corrected EI This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: 1 C! r <br />Page 4 of 6 <br />Rev. 80712019 I <br />1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />