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C-c-16avw5. 1 O�r� -4 . <br /> . ... ........... <br /> ....... ........................ <br /> .................. <br /> Environmental Health Department <br /> SAN,�JOAQUIN <br /> C DU NTY <br /> qi <br /> E <br /> Corrective Action Statement <br /> RE: June 28, 2021, Aboveground Petroleum Storage Act 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: Eleventh Street Chevron Submit completed form to: <br /> Facility address: 7501 W ELEVENTH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10509463 ATTN: CAROL PRESTO <br /> PR0539001 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#203-Failure to implement the SPCC Plan. <br /> [2 This violation was corrected ❑This violation will be corrected by(date): T, (IS 124 2 I <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: :�Lt v, 4-A• <br /> q-e D rko movHJ <br /> o <br /> Violation#601 -Failure of Plan to fulfill basic requirements including a cross-referencing section. <br /> [21 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 /> Violation#603-Failed to adequately describe the physical layout of the facility in the Plan. <br /> 1 This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will pbe taken to correct violation: <br /> SpGG ��l �n �A�2vt Y\,o 1 ' <br /> - r e;e r4j cams <br /> Page 2 of 5 <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 />