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SAN J OAOIJ IN Environmental Health Department <br /> C0LjRNTY <br /> Corrective Action Statement <br /> RE: March 07, 2023, Underground Storage Tank inspection report g <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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Paul Nso at (209)616-3049 or pnso@sjgov.org. <br /> WATERLOO LIQUOR, 2512 E WATERLOO RD, CERS ID: 10181585, PR0232418 <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <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: L't b, <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <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 /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> W 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: �1 <br /> �,'p,L� ZJ L c ✓t v` �1a� l� ( y`t�/'`-�) � ' yC J k/Y Vl%• <br /> Page 3 of 4 <br /> Rev.9/1612020 <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 />