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� f1 � Environmental Health Department <br /> N{ V N <br /> -r <br /> -COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: May 01, 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 /> Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: GRANT LINE SHELL Submit completed form to: <br /> Facility address: 2375 W GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181399 ATTN: CAROL PRESTO <br /> PR0232469 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#3-2010013-Facility has submitted a complete and accurate UST Monitoring Plan.. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> \Y Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Logged into CERS, changed ELLD model number from "PLLD" to correct model <br /> number, 848480-01 . Submitted on 5/14/25 . <br /> Violation#10-2030074-Annual Monitoring System Certification Form to the CUPA within 30 days of <br /> completion of the test. <br /> VThis violation was corrected This violation will be corrected by(date): 6/6/25 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Mo�71 nq fnrwarci, al 1 tP,t jl ts, i nrl 11cli n" al 1 rPcrui rPc1 (-(-)mpc)nPnts, wi 11 be <br /> submitted to UST sjgov.orq <br /> within 30 days of testing. We are currently working with our repair <br /> co . <br /> Violation#13-2010017-Spill bucket testing results submitted to the UPA within 30 days of testing. <br /> VThis 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 /> Moving forward, all test results, including all required components will <br /> be submitted to UST(aD-sjgov.orq within 30 days of testing. <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 />