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SAN -10AQUIN Environmental Health Department <br /> COUNTY... <br /> � F <br /> • Grcdtntss q�ows �!'rf. <br /> Corrective Action Statement <br /> RE: March 12, 2024, 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 /> COUNTRY MARKETPLACE, 1789 W CHARTER WAY, CERS ID: 10182247, PR0506538 <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <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: W, uti G4 EKG C-uv-e- <br /> 1. -c W-l,L e ' e. <br /> Violation 9242-Failure to retain a paper or electronic copy of the permit to operate at the facility. <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 G e- qOLA <br /> LO'LL C ih _ M�:1 tti' Ih o� teat► VWW <br /> L rjA e- Ee- <br /> ham° ^ — d c) M`1_;LO2C f L 'Z � <br /> Pr.tT +face. <br /> Violation#319-Failure to comply with overfill prevention equipment requirements. ll <br /> ❑ This violation was corrected I This violation will be corrected by(date); ZS ISH <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation. We— An rc1*< W 1^4C} <br /> Rey srs&zm <br /> Page 3 of 3 <br /> 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209 464-0138 1 www slgov.org/EHD <br />