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Environmental Health Department <br /> SAN JOAQUIN <br /> p , <br /> Corrective Action Statement <br /> RE: July 24, 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: KETTLEMAN CHEVRON Submit completed form to: <br /> Facility address: 601 E KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181435 ATTN: MARIA LOPEZ <br /> PR0231348 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#3-2010013-Facility has submitted a complete and accurate UST Monitoring Plan.. <br /> 6d"' This violation was corrected ❑This violation will be corrected by(date): <br /> ff Supporting documents included <br /> Describe actions taken or will be taken to correct violation: t.'.(>dafe G( <br /> USz` Hor-)if- P( 09-ZO-202,5 <br /> Violation#11 -2030048-Sec containment testing conducted per requirements&records kept for 36 mths <br /> (TCR 9d). <br /> 62" This violation was corrected ❑This violation will be corrected by(date): <br /> I131"Supporting documents included <br /> Describe actions taken or will be taken to correct violation: 0 1-2 9 Q 25 O(9-11-Zb 2'-{ f e5 F <br /> f eSL-A. I f5 OV'e- mow CAvaiIab( er ors S�'fi� .--) a b;-)aer". ThP'- <br /> PCewioLt5 o"ne-r5 CAljc�"It feo,\/e_ t`QSt- r25LcIf-S \'4(�;�(ti <br /> Y•(e, �e ryeS{ �ri� �a -+7 t-1� ��e/VtcR CC-" 212G <br /> Page 2 of 5 <br /> Rev.9/16/2020 <br /> 1868 E. Hazeiton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EIAD <br />