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S h N J O A Q I I I N Environmental Health Department <br /> CDUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: July 28, 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 Shewit Woldearegay at(209)616-3063 or stwoldearegay@sjgov.org. <br /> AISLE 1 #2366, 4219 E MORADA LN, CERS ID: 10185183, PR0524617 <br /> Violation#304-Failure to construct,operate,and maintain primary containment as product-tight. <br /> 0 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: 252231884 diaptched to Walton Engineering. <br /> Work Summary: Performed Job Safety Analysis and uploaded JSA form to Walton Work Orders. <br /> #9/10 remove liquid from UDC's and clean debris check for leaks. Inspected #9/10 for leaks and found <br /> #10 diesel filter leaking and 87 meter leaking from bottom of meter. Removed small amount of liquid from UDC <br /> by use of absorbent and left on site in solid tagged hazmat drum dated 031023 and is full. Tightened filter and <br /> bottom of meter and leaks stopped. Returned dispenser key to clerk. All in service with no products dispensed <br /> and observed customers dispense with no problems. Filled out maintenance and vendor logs. <br /> Page 4 of 4 <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 />