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SANJOAQUI Environmental Health Department <br />COUNTY <br />t�c,v Greatness grows here. <br />Corrective Action Statement <br />RE: November 10, 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 />Stacy Rivera at or srivera6a�sigov.orq. <br />Facility name: UNFI GROCERS DISTRIBUTION, INC (STOCKTON) Submit completed form to: <br />Facility address: 1990 N PICCOLI RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181455 ATTN: STACY RIVERA <br />PR0231820 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #107 - Failure to submit and maintain complete and current financial responsibility documents. <br />11� This violation was corrected ❑ This violation will be corrected by (date): <br />Ed Supporting documents included <br />Describe actions taken or will be taken to correct violation: Financial responsibility was uploaded to CERS on 7/1/22. <br />Per, CalEPA Guidance Unified Program Guidance Letter 14-01 (Revised), the UPA "Unless otherwise <br />required by a local law or ordinance. a UPA may not require regulated businesses to maintain an additional <br />copy of required Unified Program information onsite if the same information has been submitted electronically. <br />Violation #115 - Failure to submit "Monitoring System Certification Form" within 30 days of completion of the <br />test. <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 November 8th, 2021 Monitoring Certification Form is attached. Going forward, UNFI will <br />verify submission ofthese results. <br />Violation #116 - Failure to submit the "Spill Container Testing Report Form" within 30 days. <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 November 8th, 2021 Spill Container Testing Report Form is attached. Going forward. UNFI <br />will verify submission of these results. <br />Page 2 of 5 <br />Rev. 8/27/2019 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />