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Received by EHD via email on 10/9/2022 SAN J O A Q U I N Environmental Health Department COLJNTY :r��tness grows fk•�r� Corrective Action Statement RE: September 12, 2022, Underground Storage Tank inspection report For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, describe what was done to correct the violation in the space provided below each violation. Submit this completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact Carol Presto at(209)616-3061 or cpresto@sjgov.org. Facility name: Tracy Texaco Submit completed form to: Facility address: 2375 N TRACY BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID: 10182109 ATTN: CAROL PRESTO PR0231897 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Violation#107-Failure to submit and maintain complete and current financial responsibility documents. ❑✓ This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: Updated and Uploaded to CERS web site. Violation#115-Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test. ❑✓ This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: Test results now on site and will be submitted within 30 days moving forward. Violation#116-Failure to submit the"Spill Container Testing Report Form"within 30 days. ❑✓ This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: Test results now on site and will be submitted within 30 days moving forward. Page 2 of 3 Rev.9/16/2020 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD