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SAN J OAQ U IN Environmental Health Department <br />--COUNTY <br />Corrective Action Statement <br />RE: April 26, 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: JD Service Station, Inc. <br />Facility address: 9015 WALNUT GROVE RD <br />'ERS ID: 10443520 <br />PR0521738 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: JOHN ALANIZ <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #106 -Failure to submit and maintain a current facility plot plan /site map. <br />❑✓ This 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: Slte map has been updated and reSUbmltted <br />to the CERS website. <br />Violation #208 -Failure to comply with the designated operator inspection requirements. <br />Rev. 9/16/2020 <br />❑✓ This 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: <br />D.O. will double check and ensure the new D.O. forms are correctly and completely filled out and sianed by the <br />each month. <br />Page 2 of 2 <br />1868 E. Hazelton Avenue ( Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />