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;{ ' " .;` SA K4 0 A QUII Environmental Health Department <br /> qI U <br /> 7 ITS r'k CLJT <br /> Gremness grows here, <br /> Corrective Action Statement <br /> RE: May 07, 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 /> Stacy Rivera at(209)468-3440 or srivera(a)sigov.orq. <br /> Facility name: TESORO (SPEEDWAY)68221 Submit completed form to: <br /> Facility address: 2705 COUNTRY CLUB BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10411900 ATTN: STACY RIVERA <br /> PR0231072 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#105-Failed to have an approved UST monitoring plan. <br /> �f 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: Monitoring Plan has been updated in CERS to <br /> change the LD from Vaporless LD-2000 to Vaporless 99 LD-2000. <br /> Viola-tion#201 -Failure to maintain monitoring, maintenance, and follow up action records. <br /> 6d/' 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: All test records have been sent to the site and <br /> properly filed in the binder on site. <br /> Violation#204-Current monitoring plan approved by the EHD not found on site. <br /> VThis 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: The Monitoring Plan that was updated in CERS <br /> has been alaced on site and filed in the correct binder. <br /> Page 2 of 2 <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 />