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SAN J 0A Q U I N Environmental Health Department <br /> raTY <br /> Corrective Action Statement <br /> RE : May 05 , 2020 , 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 /> Shewit Woldearegay at (209) 468-0216 or stwoldearegay a@sjgov. org . <br /> FLYING J TRAVEL PLAZA #618* , 1501 N JACK TONE RD , CERS ID : 10182131 , PR0505264 <br /> Violation #124 - " Overfill Prevention Equipment Inspection Report Form" not submitted within 30 days of <br /> inspection . <br /> IR 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 : From now on , test results will be submitted <br /> within the required timeframe . <br /> Violation #313 - Failure to construct, operate , and maintain primary containment as product-tight. <br /> 12 This violation was corrected ❑ This violation will be corrected by (date) : <br /> [A Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Part replacement performed on Dispenser <br /> 5/6 91 grade proportional valves on 7/23/20 . Purged , tested and working properly . Work <br /> Order is included as supporting documentation . <br /> Violation #315 - Water in secondary containment not removed , analyzed , and properly disposed of ( pre -Jul <br /> 2003) . <br /> M This violation was corrected ❑ This violation will be corrected by ( date) : <br /> 121 Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Performed part replacement on Dispenser <br /> 7/8 91 grade proportional valves on 7/23/20 . Purged , tested and working properly . Also , <br /> replaced Dispenser 7 87 C + meter and meter check valve . Purged , tested and no leaks found . <br /> T4 and T5 were dry upon 7/20/20 inspection . Work Order and photos are included as <br /> supporting documentation . <br /> Page 3 of 3 <br /> Rev, 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www, sjcehd . com <br />