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SAN J O A Q U I N Environmental Health Department <br />Corrective Action Statement <br />RE: April 27, 2022, 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 <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br />MAIN STREET ARCO AM PM*, 1100 S MAIN ST, CERS ID: 10182243, PRO506504 <br />Violation #214 - Failure to comply with UST operating permit conditions. <br />This violation was corrected 0 This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation' Dl uc- -iv h)t"j(' hwv <br />Cc)tJVCp.T1Nta OF <br />A 114-D <br />AS IWTE0 Int <br />ITEM ti -L- Aj!d)V , '-THERE <br />WhS [.X)W US117N <br />OF TLSTIN6 <br />Writ Fo(L <br />kNNVAL MONiT90,1Nz, <br />LEIZTIFtClF7iO+v• <br />�-lvy.]�VG�. SND <br />c�+r�nn�n�-rs <br />NoU,I Dy�y <br />fro"[t9 Fob <br />��+zu(LE. <br />Page 3 of 3 <br />Rev. 9/1612020 <br />1868 E Hazelton Avenue I Stockton, California J5-105 I T 209 468-3-120 1 F 209 464-0138 1 slyov.org_EHD <br />