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Environmental Health Department <br />Corrective Action Statement <br />RE: July 05, 2022, 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 Stacy Rivera at (209) 616-3043 or srivera@sjgov.org. <br />QUIK STOP MARKET #076, 1030 S OLIVE AVE, CERS ID: 10180695, PR0231704 <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 #209 - Failure to maintain a copy of the "Facility Employee Training Certificate" on-site. <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 #214 - Failure to comply with UST operating permit conditions. <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 3 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 />Future designated operator reports will be performed within the required timeframe. <br />x <br />The Facility Employee Training Certificate has been corrected and future records will be completed <br />and maintained according to the requirements. <br />x <br />Copy attached. <br />The testing record has been provided to the site and will be maintained onsite and accesible for review. <br />The record is attached.