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SA I O A Q I � I N Environmental Health Department <br /> .�ja� C 0 U <br /> 4 ICI <br /> .r Gircotnem Rro4w4 hrrr, <br /> Corrective Action Statement <br /> RE: April 02, 2026, 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 Tod <br /> Okumura at()-or. <br /> QUIK STOP MARKET#132, 3555 W HAMMER LN, CERS ID: 10180893, PR0231130 <br /> Violation#6-2011008-Submitted/maintained current Cert of Financial Responsibility/mech of financial <br /> assurance(TCR 11). <br /> ❑x 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 /> A current Certification of Financial Responsibility has been sent to the site and will be available for review. <br /> A current version is also in CERS. <br /> Violation#40-2011002 -Installation, repair, lining, integrity, calibration,and release records maintained for <br /> life of UST. <br /> t7 This violation was corrected ❑ ❑This violation will be corrected by(date): <br /> t7 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Records of installation have been sent to the Inspector and to the site and will be maintained onsite and available for review. <br /> Violation#45-2031024-UST system is operated to prevent unauthorized releases, including spills and <br /> overfills. <br /> 17 This violation was corrected ❑ ❑This violation will be corrected by(date): <br /> t7 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Deflector plate has been installed at UDC 5/6. <br /> Page 3 of 3 <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 />