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SAN._J O A Q I I I N Environmental Health Department <br /> COU �NlTYu—I IY <br /> Greotness grows her,RECEIVED VIA EMAIL ON 06/23/2022 <br /> Corrective Action Statement <br /> RE: June 20, 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. <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 Certification within 30 days of inspection. If you have any questions, <br /> please contact Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: QUIK STOP MARKET#148 Submit completed form to: <br /> Facility address: 205 W LOCKEFORD ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180641 ATTN:VICKY VANG-LEE <br /> PR0232257 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#104-Failure to have an approved UST Monitoring Plan. <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 /> The UST Monitoring Plan has been updated and submitted into CERS and has been approved by the <br /> Inspector. <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <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 /> Maintenance record for repair}las been Cent to Cite to maintain onC1te, aC required Future malntennnc <br /> records will he maintained onsite for the required timeframe_ <br /> A copy of the maintenance record has been sent to the Inspector. <br /> Violation#205-Failure to have current UST Monitoring Plan readily accessible at the facility. <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 /> The updated UST Monitoring Plan has been sent to the site to submit into the binder and will be readily <br /> accesible at the facility. <br /> Page 2 of 3 <br /> Rev.9/16/2020 <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 />