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SANJOAQUI Environmental Health Department <br />COUNTY <br />` c Greatness crows 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 srivera(o-)sigov.orq. <br />UNFI GROCERS DISTRIBUTION, INC (STOCKTON), 1990 N PICCOLI RD, CERS ID: 1018145 <br />Violation #117 - Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test. <br />This violation was corrected ❑ This violation will be corrected by (date): <br />L� Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />The November 8th, 2021 Secondary Containment Testing Report Form is attached. Going forward, <br />Violation #118 - Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 <br />days. <br />f� 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 Overfill Prevention Equipment Inspection Report Form is attached. Going forward, <br />UNFI will verify submission of these results. <br />Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br />months. <br />V This violation was corrected ❑ This violation will be corrected by (date): <br />GY" Supporting documents included <br />Describe actions taken or will be taken to correct violation: (1) There Is not a requirement to maintain a work <br />order. The SJC EHD permit to replace the drop tube was onsite, as well as the subsequent test . <br />results. These documents act as maintence records. The work order is attached for vour reference. <br />(2) The alarm on 4/21/22 was cleared by removing water. Onsite personnel performed this act and <br />will egln to log maintenance. <br />Page 3 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 />