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S A N SIU Q IQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : May 08 , 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 Paul Nso at (209 ) 616 -3049 or pnso@sjgov . org . <br /> SINCLAIR NORTH MAIN , 1245 N MAIN ST , CERS ID: 108425203 PR0541906 <br /> Violation #107 - Failure to submit and maintain complete and current financial responsibility documents . <br /> 4Y/ This violation was corrected ❑ This violation will be corrected by ( date) : <br /> ❑ Supporting documents included <br /> Describe actions take orrwi be ken to correct vio tion : �`l� ' o <br /> OF <br /> Violation #202 - Failure to retain a paper or electronic copy of the permit to operate at the facility . <br /> l/ 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 : ( n � »(�/� YY1 <br /> FS <br /> Violation #205 - Failure to submit and have current UST Monitoring Plan readily accessible at the facility . <br /> IP/ This violation was corrected ❑ This violation will be corrected by ( date ) : <br /> ❑ Supporting documents included , <br /> Describe actions taken or will be taken to correc violation : ✓ G <br /> Page 3 of 5 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468-3420 1 F 209 464-0138 1 www . sjgov . org/ EHD <br />