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1%01j Environmental Health Department <br />SAN O A Q U I N <br />1" Ci:: ----COUNTY- <br />rA.rr GItEjot;;_:,� . hem, <br />Corrective Action Statement <br />RE: November 15, 2021, Aboveground Petroleum Storage Act inspection report <br />For each violation listed below, indicate 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Shewit Woldearegay at (209) 616-3063 or stwoldearegay@sjgov.org. <br />Facility name: Love's Travel Stop #538 <br />Facility address: 15250 N THORNTON RD <br />CERS ID: 10448341 <br />PR0539991 <br />Violation #203 -Failure to implement the SPCC Plan. <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: SHEWIT WOLDEAREGAY <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />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 spill kit has been re stocked with booms <br />Violation #301 -Failed to amend Plan as necessary. <br />This 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 />Tanks included in updated SPCC plan and store contact has been updated to new General Manager <br />SPCC included. <br />Violation #605 -Plan failed to include an adequate facility diagram, or no facility diagram was included. <br />This violation was corrected [I This <br />Rev. 9/16/2020 <br />violation will be corrected by (date): <br />_❑/ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />SPCC plan updated to show exempt <br />Page 2 of 4 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 I F 209 464-0138 � www.sjgov.org/EHD <br />