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N40IIIN Environmental Health Department <br />I�1 1J <br />COUNTY <br />Greatness grows here. <br />r. <br />Corrective Action Statement <br />RE: June 02, 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 John Alaniz at (209) 616-3053 orjalaniz1@sjgov.org. <br />Facility name: 7 -ELEVEN INC #41341 Submit completed form to: <br />Facility address: 4405 PACIFIC AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182305 ATTN: JOHN ALANIZ <br />PR0508452 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #101 - Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit <br />fees. <br />IN 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 />The UST permit fees were ultimately paid. Late payment of this permit was discussed with Accounts Payable in order to <br />prevent it from reoccurring. <br />Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br />months. <br />I29This violation was corrected <br />❑Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: The removal of the liquid from UDC 1/2 was documented in the DO <br />7/23/2021 report. A work order is not required for removal of liquid from UDCs however, a WO was on-site in the back-office eFile system <br />which EHD inspectors have access to. CCR 2712 allows for 36 hours to produce records and this request for a non -required <br />Rev. 9/16/2020 <br />record would meet this requirement and therefore #203 should be rescinded. <br />This is not a repeat violation as there was no liquid noted in UDC 1/2 in the August 2021 DO inspection report. <br />Page 2 of 2 <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 />