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SAN J OAQO I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: March 30, 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. <br /> Also, desc nbe what was done to correct the violation in the space provided below each violation. Submit this <br /> completec form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please co itact Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> Facility name Trinity Parkway AMPM ARCO#83819 Submit completed form to: <br /> Facility address 10715 Trinity Pkwy SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10760026 ATTN: LYDIA BAKER <br /> PR0541281 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 208 - Failure to comply with the designated operator inspection requirements. <br /> j§ This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Eupporling documents included <br /> Describe actions taken or will be taken to correct violation: Ce �cd lZ a'�►`Lh�'�� <br /> o h <br /> i%,j1 --vGf Geo? jtt�2-I 4-cp GLr a h c_ v,�e. pi.Ae o LSC'./' <br /> 01 <br /> da f-c a d d L Gcrrc <br /> e_ G -ts <br /> Violation 0307 -Failure to keep water out of the secondary containment system (post-Jul 2003). <br /> ® 1 his violation was corrected ❑This violation will be corrected by(date): <br /> ❑ r upporting documents included <br /> Desc ibe actions taken or will be taken to correct violation: G'pv"d W ar' <br /> U�d� d i S •�s� G oma, r-, ew't'1' e wc_,.-e ►ra <br /> .�lec" o e yS o c.rc ��d pz OvLi of <br /> c�hdcy o7rC,.•�J� Gor.���hv`--tu-✓�'1'. <br /> Page 2 of 2 <br /> Rev 9/16/2020 <br /> 186; E Hazelton Avenue I Stockton California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/EHD <br />