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Environmental Health Department <br />SANJOAQUIN <br />p <br />. > -Groot Sro <br />Corrective Action Statement <br />RE: September 06, 2023, 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 Vicky Vang-Lee at (209) 616-3028 or vvang-lee@sjgov.org. <br />Facility name: ARCO CHEROKEE GAS & MART Submit completed form to: <br />Facility address: 900 S CHEROKEE LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10180627 ATTN: VICKY VANG-LEE <br />PR0231841 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #104 - Failure to submit a complete and accurate UST Monitoring Plan. <br />❑ This violation was corrected ❑ This violation will be corrected by (date): 9/29/23 <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: All four monitoring plans are updated. <br />Violation #107 - Failure to submit and maintain complete and current financial responsibility documents. <br />❑ This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included <br />9/29/23 <br />Describe actions taken or will be taken to correct violation: Financial Responsibility document has been <br />updated and i will make sure going forward to keep it up to date. <br />Violation #122 - Failure to implement corrections and submit written response within 30 days of receiving the <br />report. <br />❑ This violation was corrected ❑ This violation will be corrected by (date): <br />❑ supporting documents included <br />9/29/23 <br />Describe actions taken or will be taken to correct violation: I will make sure going forward to sumbmit <br />written statement within 30 days from it was sent. <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 />