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Environmental Health Department <br />SAN: JOAO U IN <br />COt; r_i-i-Y <br />Corrective Action 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 30 days of inspection. If you have any questions, please contact <br />Stacy Rivera at or srivera@sigov.org. <br />ESCALON MINI MART, 1097 YOSEMITE AVE, CERS ID: 10180561, PR0231497 <br />Violation #294 - Failure to compiy with UST operating permit conditions. <br />M This violation was corrected 0 This violation will be corrected by (date): <br />® Supporting documents included <br />Describe actions take or will b taken to cor ect violation: <br />Violation #308 - f=ailure of the leak detection equipment to have an audible and visual alarm. <br />❑ This violation was corrected ❑ This violation will be corrected by (date): <br />® Supporting documents included p <br />Describe actions taken or will be taken to correct violation: <br />Violation #309 -f=ailure to have continuous monitoring that activates audible -visual alarm or stops flow at <br />dispenser. <br />® This violation was corrected ❑ This violation will be corrected by (date); [ <br />C 9— <br />El Supporting documents included <br />Describe actions taken or will be, taken to correct violation: <br />Rage 5 of 6 <br />Rev. W712019 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www,sjcehd.com <br />