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FEB/25/2022/FRI 04:06 PM Tracy Truck Stop FAX No.209832 2312 P1011 <br />Environmental Health Department <br />Corrective Action Statement <br />RE: February 22, 2022, Hazardous Materials inspection report <br />For each violation listed below, indiCato 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 />Facillry name: Tracy Blvd Chevron Submit completed futm to: <br />Facility address: 3775 N TRACY BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS Ib: 10181337 ATTN: CAROL PRESTO <br />PR0519609 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #6 - Failed to electronically submit a site map with all required content, <br />td This vlolatren was corrected ❑This vlolatlon will be corrected by (date): <br />d Supporting documents Included <br />Describe actions taken or will be taken to correct violation: <br />Violation #7 -Failed to electronically ®ubmit an adequatA ER procedures 4or a release or threatened reloa6e. <br />6ao**�This violation was corrected 13 This <br />violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Vialatlon #9 -Felled to annually review and certify that the HMAP Is complete end accurate by the due date, <br />Er This violation was <br />Rev. 9/16/2020 <br />Received <br />corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date); <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />Time= -Feb , 2 5. A2 B 2 2� 14 : B 4 P �, N o , ] 114 95205 (T 209 468-3420 I F 209 464-0138 � www_sjgov.org/EHD <br />