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SAN:JOAQUIN Environmental Health Department <br /> __,.-COUNTY <br /> Cirrntrlczz y;ons h <br /> Corrective Action Statement <br /> RE:January 31,2025, 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: ARCO STATION#826951' Submit completed form to: <br /> Facility address: 130 S WILSON WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181227 ATTN:MARIA LOPEZ <br /> PR0231861 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#5-2030041-A current facility plot plan is maintained and has been submitted. <br /> ❑ This violation was corrected ,ICI This violation will be corrected by(date): <br /> Supporting documents included I 1 J L <br /> Describe actions taken or will be taken to correct violation: �]�)��C(.QCL1 OC71 W G RS <br /> Violation#10-2030074-Annual Monitoring System certification Form to the CUPA within 30 days of <br /> completion of the test <br /> dThis violation was corrected ❑This violation will be corrected by(date): <br /> Supporting documents included <br /> Describe actions tak n or will be taken to correct violation: 1�9oT'r }t i i ti l kQ- <br /> _RS <br /> Violation#13-2010017-Spill bucket testing results submitted to the UPA within 30 days of testing. <br /> ❑ This violation was corrected la Thls violation will be corrected by(date): <br /> J;3"Supporting documents included <br /> Describe actions taken or will be taken to correct violation: -Soy 11i- Az. A Q�c. t <br /> Rev.W612020 Page 2 of 3 <br /> 1868 E.Hazelton Avenue I Stockton,California 95205( T 209 468-3420 i F 209 464-0138( www.sjgov.org/EHD <br /> --------------- <br /> Scanned with <br /> m CamScanner-i <br /> ---------------------------- <br />