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SAN J 0AOUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE: December 21,2021, Underground Storage Tank inspection report <br /> For each violation listed below,indicate if the violation has been corrected or will be corroctod by a cortaln dalo. <br /> Also,describe what was done to correct the violation In the space provided below each violation. Submit thin <br /> completed form with the Return to Compliance Certification within 30 days of Inspection. If you have any questions, <br /> Please contact Kristina Saetern at(209)616-3045 or ksaetern@sjgev.org. <br /> Facility name: ESCALON MINI MART Submit completed form to: <br /> Facility address, 1097 YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180561 ATTN:KRISTINA SAETERN <br /> PR0231497 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> ttl This violation was corrected ❑This violation will be corrected by(dale): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: /t/"' ,4U/° <br /> P, <br /> Violation#302-Leak detection equipment not instaltedlmaintainedllocated to detect leaks at earliest <br /> opportunity. <br /> t0 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 /> a <br /> Page 2 of 3 <br /> Rev.911812020 <br /> 1868 E.Hazelton Avenue Stockton,California 952051 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/EHD <br />