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r, SIN <br /> ANJ 0 AQ I I Environmental Health Department <br /> i'� COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: July 25, 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 Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: SAFEWAY FUEL CENTER#1769 Submit completed form to: <br /> Facility address: 2802 COUNTRY CLUB BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10156809 ATTN:VICKY VANG-LEE <br /> PR0516736 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#305-Failed to maintain secondary containment(e.g.failure of secondary containment testing). <br /> ❑ This violation was corrected $`I This violation will be corrected by(date): TBD <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Site is going to have all piping, sumps and UDCs <br /> replaced. Waiting on permit from San Joaquin Environmental Health and Building Dept. <br /> Once those are received project will be scheduled which will address the SB-989 failures. <br /> Page 2 of 2 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />