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SAN. JOAQUI N <br />t_OUN TY <br />Environmental Health Department <br />Corrective Action Statement <br />RE: March D1, 2023, Underground Storage Tank inspection report <br />For each vioiation listed below, indicate if the ioIation has been corrected or will be corrected by a certain dat . <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 Gabriela Garcia -Delia at (209) 616-3037 or ggarcia-mejia@sjgov.org, <br />Facility name- GEORGES BP MINI MART <br />Facility address 18662 N HWY 88 <br />CERS ID: 10182137 <br />PRO505356 <br />Submit completed form to: <br />5JC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: GAgRIELA GARCIA-MEJlA <br />1868 E HAZELTQN AVENUE <br />TTN, CA 95205 <br />Viollatton #208 - Failure to complywith the designated operator inspection requirements. <br />Rev. W1612020 <br />This i of ti ro wascorrected <br />0 Supporting documents included <br />El This violation will be corrected by (date). <br />Describe actions taken or will be taken to correct violation: <br />loyl LVIthly) rt- 11 LA ile-4 <br />Page 2 of 2 <br />1868 E. Hazelton AvellUe I Stockton, 1ffat-r is 952051 T 209 468-34201 F 209 464-0136 1 www.tsjgov,or91EHD <br />