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SAND OAQ U I N Environmental Health Department <br /> �•��-w` COUNTY <br /> Greotness grows here. <br /> Corrective Action Statement <br /> RE: May 25, 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(gsjgov.org. <br /> UPS -Stockton, 1532 N Broadway Ave, CERS ID: 10156057, PR0231522 <br /> Violation#120-Failure to submitandlor maintain documentation regarding compatibility for UST system <br /> components. <br /> A This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included l <br /> Describe actions taken or will be taken to correct violation: UPS hi&:� C-111 C_ QC-0-1taL. L) _;� r1� <br /> Violation#204-Failure to maintain records of repairs, lining,and upgrades on site,for the life of the UST. <br /> g, 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 /> r b f Sty <br /> Violation#205-Failure to submit and have current UST Monitoring Plan readily accessible at the facility. <br /> )9. 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: C-re- <br /> aylACAV) be- <br /> ' Nle r FatT�m <br /> Page 3 of 4 <br /> Rev_9l161MO <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 />