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S A N J O A Q U I N Environmental Health Department <br /> �1I I'll tY <br /> Corrective Action Statement <br /> RE: July 19, 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 Kristine Saetern at (209) 616-3045 or ksaetern@sjgov.org. <br /> H&M - BW #98, 2501 JACKSON AVE, CERS ID: 10181511, PR0231488 <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 /> �al tt.66�1i 1ll,OL.�4.?Pfu`. <br /> Violation #308 -Failure of the leak detection equipment to have an audible and visual alarm. <br /> M, This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken <br /> to��correct violation: <br /> Violation #318 - Failed to meet spill container 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 /> (2 UPOLI e Ceps Pa Cmc h a cA kl Cat In vww�nn <br /> 9/16/2020 Page 3 of 3 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/EHD <br />