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n' I I N Environmental Health Department <br /> J 0 QQU <br /> SAN <br /> COUNTY <br /> Corrective Action Statement <br /> RE: January 07, 2022, Underground Storage Tank inspection report <br /> ll be corrected by a <br /> ain date. <br /> For each violation listed toindicate rl <br /> correct violation in the pace provided below each violation. Submit this lso, <br /> describe what was done to completed <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: TOKAY SHELL <br /> Submit completed form to: <br /> Facility address: 420 W KETTLEMAN LN# 1 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> ATTN: CAROL PRESTO <br /> CERS ID: 10767814 1868 E HAZELTON AVENUE <br /> PR0544259 STOCKTON, CA 95205 <br /> Violation#107 -Failure to submit and maintain complete and current financial responsibility documents. <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#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <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#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 /> Page 2 of 3 <br /> Rev.9/1612020 <br /> 1868 E. Hazelton Avenue I Stockton. California 952051 T 209 468-3420 1 F 209 464-0138 1 www sjgov org/EHD <br />