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EnvironmentalUIN Health <br /> O aSAN Y <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 /> KETTLEMAN CHEVRON, 601 E KETTLEMAN LN, CERS ID: 10181435, PR0231348 <br /> Violation#14-2010018-Overfill prevention equipment inspection report form submitted to the UPA within 30 <br /> days.. / <br /> GY 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: ! r S VeJ �a�l��� C)Qr' '/re� <br /> wCfI- ) f-V.e., 12r2v,lai . Cc4eit.r'S _ 1 oi5 V-)�5 beAt--� ootc-CA-. C,.--)rk <br /> CU1-nroL.'-n ; C-r-L- 'e ) to a\/o i cl- 5 i n f-t v,_ <br /> Violation#50-2060020-Spill buckets meet requirements, have been tested as required,and records kept <br /> for 36 mths(TCR 9a). <br /> El/This violation was corrected ❑This violation will be corrected by(date): <br /> EY"Supporting documents included <br /> Describe actions taken or will be taken to correct violation: d C0`�5'2C_ "e'_�{� i-2O2�� 0$-2.2-2OZ 3 <br /> -rc5f' r25"1 f 5 Grp., OLVO' abi 'c O'n <br /> Violation#53-2010007-Submitted/maintained current Cert of Financial Responsibility/mech of financial <br /> assurance(TCR 11). <br /> 8 This violation was corrected ❑This violation will be corrected by(date): <br /> VSupporting documents included <br /> rD�escribe actions taken or will be taken to correct violation: copy , f� �GC.r I r5 <br /> 1�r`,-)GnC1cA ' Fy 1�DCI.�-*�e. �(-S �,r2r 'L O� S► F2. T-0i I'-:5 <br /> Page 3 of 5 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 P 209 464-0138 1 www.sjgov.org/EHD <br />