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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: March 09, 2023, 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 Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: Trinity Parkway AMPM ARCO#83819 Submit completed form to: <br /> Facility address: 10715 Trinity Pkwy SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10760026 ATTN: KRISTINA SAETERN <br /> PR0541281 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <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: d er 2 of Qp� <br /> Q d-r>4,O►- 5 , he� <br /> ZA.1Iet-rI'll , C ���es�Yed -t'E~•e 'rarH� ih d'Lr� pc t'[ <br /> Page 2 of 2 <br /> Rev 911612020 <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 />