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SAN � II � Environmental Health Department <br /> —COUNTY— <br /> Greatness <br /> COUNTS <br /> Greatness grows here, <br /> Corrective Action Statement <br /> RE: May 02, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Maria Lopez at(209)616-3064 or MELOPEZ@SJGOV.ORG. <br /> Facility name: QUIK STOP MARKET#120 Submit completed form to: <br /> Facility address: 9321 N THORNTON RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181013 ATTN: MARIA LOPEZ <br /> PR0231261 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> L 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 /> The updated financial responsibility documents have been submitted into CERS and will be sent to the <br /> site to maintain onsite available for review. <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> 91 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 /> Future designated operator reports will have all of the required information included on the report. <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 />