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RECEIVED 6/16/2022 <br /> cS A N J GAU l N Environmental Health Department <br /> `° <br /> --COUNTY- <br /> , Greatness grows hers. <br /> Corrective Action Statement <br /> RE: June 15, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please contact <br /> Vicky Vang-Lee at(249)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: WINE COUNTRY STATIONI7-ELEVEN Submit completed form to: <br /> Facility address: 1111 E KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182257 ATTN:VICKY VANG-LEE <br /> PR0506724 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> VThis violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included 1 <br /> Describe actions taken or will be taken to correct violation: j)I Lf ty.0 <br /> Page 2 of 2 <br /> R®v.a�rsr�nzo <br /> 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />