Laserfiche WebLink
SAN ! 0 A Q U I N Environmental Health Department <br /> COUNTY <br /> Greatness grows here . <br /> Corrective Action Statement <br /> RE : July 19 , 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 , describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Gabriela Garcia- Mejia at (209) 616-3037 or ggarcia- mejia@sjgov . org . <br /> Facility name : WEST LANE FUEL Submit completed form to : <br /> Facility address : 3300 N WEST LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181477 ATTN : GABRIELA GARCIA-MEJIA <br /> PR0231289 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #108 - Failure to implement or maintain a written agreement between the UST owner and operator. <br /> cQl This violation was corrected ❑ This violation will be corrected by (date) : <br /> 00 Supporting documents included <br /> Describe actions taken or will be taken to correct violation : CGv,.Q—e C%Te n \n eeVLMs , <br /> �-\ -C She <br /> Violation #110 - Failure to submit the " Underground Storage Tank Statement of Understanding and <br /> Compliance Form" . <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> 00 Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> cc) cr <br /> I <br /> i <br /> Violation #206 - Failure to submit and have a current UST Response Plan readily available on site . <br /> QHILThis violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2 of 3 <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 />