Laserfiche WebLink
SAN <br /> J O M Environmental Health Department <br /> Corrective Action Statement <br /> FEE; May 06, 2026, inspection report <br /> For each violation listed below, indicate if the violation has been c.orreoted or veil be cortecwd by a Certain date, Alsa <br /> dascrlte what was done to correct the violation in tho sPacc provided below each violation. Submit this Completed farm <br /> with the Return to Compliance GeRilication witllirl 30 days of inspactian_ If yrsu hsva, any gains#ions_ pligase contacl Tori <br /> Okurrium at()-or _ <br /> Facility riamH- costco Wholesale 41031 Submit completed form to, <br /> Facility address: 2440 DANIELS ST S.JC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10146143 ATTN: TORI Ol4UMURA <br /> PRO527629 1868 E HAZELTON AVEN(j E <br /> TOCKTON, CA 95205 <br /> Violation#4 -2011012- Facility has Submitted and maintains a monitoring site plan, <br /> El This violation was corrected 13 This violation will be corrected by (date): r+ r 2026 <br /> t7 Supporting docurnents included <br /> Describe actions taken or will be M#on co correct violation; The monitoring site playa has been updated <br /> pursuant to the comments in the inspection report. <br /> Violation#29 -2031015-Bur-cndary containment provided and properly maintainad_ <br /> 3 This violation was corrected 13 This violation will be corrected by(date;: 512012026 <br /> M Supporting docu Men ts included <br /> Describe acdons taken or wJII be taken to correct violation: Repairs to 87A sump Were completed b <br /> JF Petroleum over the course of two trips on /7120 6 and 50' 0/202fi. <br /> Work Order Report attached. <br /> Violation#40-2011002 -Instailatian, repair, lining, integrity, caiibraiian. and raJease records maintalned for <br /> life of UST_ <br /> ❑ This violation WAS Corrected ❑ This violation will tm corrected by(diate)= <br /> ❑ Supporting docurrments included <br /> Describe actions taken or will be taken to correct violation; As-Bunts, test reports, and other compliance <br /> documentation covering the life of the U Ts have been made available to the site online, <br /> We are still working on obtaining the manufacturer's checklists at Lhis time, and will provide <br /> them once available. <br /> Page 2 ref 2 <br /> RAW.W1 <br /> I8W E. Hazeltan Avenue I Stockton, Cdlftmla 95205 1 T 2119 4M3420 I F 209 46"138 1 www.sJg-av_argiEH1) <br />