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SAN JOAQUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE . March 2G , 2024 , Underground Storage Tank inspection report <br /> For each violation listed befovr , iiidicate 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 /> firm vrith the Return to Compliance Certification within 30 days of inspectian. If you have any questions, please <br /> contact Maria Lopez at (209) 616-3064 or MEL0PEZ@SJG0V flRG <br /> Facility name FLAMES LIQUOR Submit completed form to <br /> Facility address 1301 W KETTLEMAN LN SJC ENVIRONMENTAL I-] EAtTH UEf'AfZTMEN'T' <br /> CERS I [) 10180585 A'TTN : MARlA LOPEZ <br /> Pf�0231342 1868 E HF,ZEI_TON AVENUE <br /> STOCKTON , CA 95205 <br /> Violatiar # 102 - Failure to submit a complete and accurate application for a permit to operate a LIST .7This violation was corrected El This violation will be corrected by date) : <br /> O Supporting documents included <br /> Describe actions taker} or vri31 be taken to correct violation <br /> ot <br /> C�l 4— r v <br /> uvt 0+ Ke r, I WZ 141"', <br /> Violation #117 - Failed to submit " Secondary Containment Testing Report Form" within 30 days after the test. <br /> i <br /> This Violation was corrected ❑ This violation will be corrected by ( date) : <br /> D Supporting documents included <br /> f)es .ribc: actions taken or will be taken t correct vio Mimi <br /> ri <br /> ILL Y1 <br /> 4-(u re Wh L-ff Wc,,,rL <br /> Violation #208 - Failure to c. ornply with the designated operator inspectiort re. quiremcnts . <br /> \121/This violation was corrected ❑ This violation will be corrected by ( date) : <br /> ❑ Supporting documents included <br /> [7e ribe actions t;3ken or wtll he U3ken to correct violation : <br /> � i1� _ �- f� r� V15aj 113 , <br /> Ptage 2 of 2 <br /> Rev 911 W2020 <br /> 1 $68 E . Fiaxellorl Avenue Stockton , California 95205 1 T 209 468- 342.0 1 F 209 464-0138 1 ti►rtivw . sjgov prglEHD <br />