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AUG/18/2021/WED 03:17 PM Tracy Truck Stop FAX No,209832 2312 <br />P. 002 <br />Environmental Health Dep artment <br />• xh' <br />Yyf(�ir�y�+����.lii�i�;j,'M'll:•,'77,'�!;�F.d,��:9:7�1'����`�'::'��'re,i�.��' <br />Corrective Action Statement <br />RE, July 19, 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: TRACY TRUCK AND AUTO STOP Submit completed form to: <br />Facility address, 3940 N TRACY BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182335 ATTN: CAROL PRESTO <br />PR0536557 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #203 - Failure to implement the SPCC Plan. <br />❑ This violation was corrected 0 This violatlon will be corrected by (date): '6 <br />L] Supporting documents included <br />.•Describe actions1a$ Gn or will be taken to correct violation: <br />Violation #301 - Failed to amend Pian as necessary. <br />0 This violation was corrected ❑ This violation will be corrected by (date): $ 301-1-1.0, <br />13 Supporting documents Included <br />Describe actions taken or will be taken to correct violation: <br />Violation 4601 - Failure of Plan to fulfill basic requirements including a cross-referencing section. <br />❑ This violation was corrected ❑ This violation will be corrected by (date): - uE <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Rev, e11e/2020 <br />Page 2 of 4 <br />1868 E. Hazelton Avenua I :4tnniefnn Cal;`—` ^5205 1 T 209 468-3420 1 F 209 464-0138 1 www,sjgov.org/EHD <br />Received Time Aug,18, 2021 4:16PM No,6869 <br />