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+ ;•r S A N J 0 A 0 u I N 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 bo corrected by a certain data. <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 Certlficatlon within 30 days of Inspection. If you have any quostlona, <br /> please contact Kristina Saetem at(209)616-3045 or ksaetern@sjgov.org, <br /> ESCALON MINI MART,1097 YOSEMITE AVE,CERS ID: 10180561, PR0231497 <br /> Violation 4306-Failure to remove,analyze,and properly dispose of water In secondary containment(preJul <br /> 2003). <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 /> 1/_'& <br /> t <br /> Violation#310-Failure to meet monitoring requirements In lieu of being tightness tested every 12 months.re <br /> ❑ This violation was corrected pd Thls violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> t1,1171e ,° <br /> Violation#319-Failure to comply with overfill prevention equipment requirements. <br /> Q 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: _/iii/ 7r 110.4 <br /> Page 3 of 3 <br /> Re,911612020 <br /> 1868 E.Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www,sjgov.org/EHD <br />