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SAN J O A Q U I N Environmental Health Department <br />Corrective Action Statement <br />RE: July 19, 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 Stacy Rivera at (209) 616-3043 or sdvera@sjgov.org. <br />BlackHawk Petroleum Inc., 5611 E WATERLOO RD, CERS ID: 10180881, PR0231764 <br />Violation #208 - Failure to comply with the designated operator inspection requirements. <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: .1 <br />r,^A -"c AD, <br />cin a v e c z -%C'A- -thy <br />Ji.IiZ\ W KY - -b 'k�P nom' <br />S;-j)s �.rlA I ii s ev-"Lld -V\A tr),15) <br />Violation #308 - Failure of the leak detection equipment to have an audible and visual alarm. <br />e 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 />o� rh 2c -k- <br />Violation #318 - Failed to meet spill container requirements. <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 />Page 3 of 3 <br />Rev. 8l16I2020 <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 />