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S1If1 �AI Environmental Health Department <br /> -ry - <br /> 11 V N <br /> C U N T <br /> r Greatness grows fere, <br /> Corrective Action Statement <br /> RE: August 26, 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 /> Allen Asio at(209)616-3031 or allen.asio@sjgov.org. <br /> Facility name: PILOT TRAVEL CENTER LATHROP- 1017 Submit completed form to: <br /> Facility address: 345 Roth Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10726990 ATTN:ALLEN ASIO <br /> PR0540987 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#13-2010017-Spill bucket testing results submitted to the UPA within 30 days of testing. <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: Spill bucket testing from August 21, 2024 was submitted to <br /> the CUPA on August 26, 2025. The dispatch department has been counseled on the proper timeframe for test report submitals. <br /> Moving forward,we will ensure that all test reports are submitted in a timely manner. <br /> Violation#59-2030001 -Records of release detection monitoring and maintenance properly maintained <br /> (TCR 9d). <br /> I@ 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: The Monitor Certification for the 87 leak detector replacement <br /> that took place on January 6, 2024 has been placed on site with the other compliance records. <br /> Violation#68-2030046-A current UST Response Plan has been submitted. <br /> IN 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: A copy of the current UST response plan has been placed <br /> on site with the other compliance records. <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 />