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It 11 i 'hego:` "� Environmental Health: Department <br /> F . ., a <br /> W It <br /> I SIAN I'M <br /> It <br /> : ': ; ; <br /> �t <br /> M <br /> Corrective Action Statement . <br /> RE % February 13 , 2020 , Aboveground Petroleum Storage Act inspection report <br /> For each violation listed below, indloate if the violation has been corrected or will be corrected by a certain date. Alsor <br /> describe what was done to correct the violation in the space provided below each violations , Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions, please contact <br /> Cesar Ruvalcaba at (209) 953-Fi213 or cruvalcaba(a).sigov.orq. <br /> Facility name : DOES TRAVEL PLAZA Submit completed form to: <br /> Facility address : 15600 S HARILAN RD SJC ENVIRONMENTAL HEALTH Di=PARTMENT <br /> CERS ID : 10180541 ATTN : CESAR RUVALCABA <br /> PRO515456 1868 E HA7ELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violagon #603 - Failed to adequately describe the physical layout of the facility to the Plan, g j <br /> ❑ This violation was correctedThis violation will be corrected by (date); ] <br /> " Supporting documents Included <br /> Describe actions talta�n or w11 be taken It coat viol tion: <br /> 1) NAIaA %t UVVIV col <br /> Violation #613 - Failure to provide appropriate secondary containment, diversionary structures or <br /> equipment. <br /> D This violation was correctedT his violation will be corrected by (date): .— <br /> Suppvrt1rtg documents included <br /> Describe ctio taken or will betaken to correct violation : <br /> Violation #706 - Failed to provide and maintain adequate secondary containment. 05 <br /> ❑ This violation was corrected This violatlon will be corrected by (date) : <br /> X <br /> Supporking documents included r} 1 N �Describe actions ,jaken or will be taken to Come violation: r. �/ <br /> 1 A <br /> Page 2 of 3 <br /> Rev. $127019 <br /> 1868 E. Hazelton Avenue I Stockton , Caiifomia 952,05E T 209 469-34.20 1 F 209 464-0138 1 www,sjcehd , com <br />