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Environmental Health Department <br />Corrective Action Statement <br />RE: June 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 Kristina Saetern at (209) 616-3045 or ksaetern@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: KRISTINA SAETERN <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to:QUIK STOP MARKET #551152 <br />10180631 <br />1721 S CHEROKEE LN #1 <br />PR0232355 <br />Violation #208 - Failure to comply with the designated operator inspection requirements. <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 #304 - Failure to construct, operate, and maintain primary containment as product-tight. <br />¨ This violation was corrected ¨ This violation will be corrected by (date): <br />¨ Supporting documents included <br />Violation #306 - Failure to remove, analyze, and properly dispose of water in secondary containment (pre-Jul <br />2003). <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 />Page 2 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />x <br />In the future the Designated Operator will work to include the dates and other required information per <br />the guidelines. <br />In the future the service technician will work to ensure that all sumps and annular spaces are maintained <br />free of liquid. <br />x <br />x <br />Describe actions taken or will be taken to correct violation: <br />Repairs were made to the UDC piping leak and liquid was removed. Work order 167092 attached.