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SAW�� IN Environmental Health Department <br />C QJ <br />Corrective Action Statement <br />RE: October 29, 2024, 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 />Maria Lopez at (209) 616-3064 or melopez@sjgov.org. <br />Facility name: GAVINKO PETROLEUM* <br />Submit completed form to: <br />Facility address: 7700 MORELAND ST <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181359 <br />ATTN: MARIA LOPEZ <br />PR0231819 <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #4 - 2010014 - Facility has submitted a complete and accurate UST Response Plan.. <br />This violation was corrected <br />Vj Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Violation #5 - 2030041 - A current facility plot plan is maintained and has been submitted. <br />This violation was corrected This violation will be corrected by (date): 1 <br />sho <br />(F- Supporting documents included <br />Describe actions taken or will be taken to correct viol tion: 2, <br />gni ��e nU�1 C(L )q) e --vi Y A14PX'UXl�-Y1 <br />Violation #7 - 2010003 - Owner/Operator submitted DO form and/or informed the CUPA of any change(s) <br />within 30 days (TCR 10). <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 />Rev. 9/16/2020 <br />Page 2 of 6 <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 />