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SAN 10 A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: January 25, 2022, 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 /> Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Facility name: TESORO(SPEEDWAY)68151 Submit completed form to: <br /> Facility address: 35 N CHEROKEE LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181229 ATTN:VICKY VANG-LEE <br /> PR0231320 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#102-Failure to submit a complete and accurate application for a permit to operate a UST. <br /> 6 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: C <br /> Violation#104-Failure to have an approved UST Monitoring Plan. <br /> 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#205-Failure to have current UST Monitoring Plan readily accessible at the facility. <br /> © 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: ��A i �_ Co� � ;_ I tom cT C.i t r'C> <br /> Page 2 of 3 <br /> Rev 9116/2020 <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 />