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c� n �,t �OAQUI t,' Environmental Health Department <br /> �! . Y '�1 <br /> _. pp <br /> Corrective Action Statement <br /> RE: June 16, 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 /> Lynsey Sammons at(209)616-3067 or Isammons@sjgov.org. <br /> Facility name: MOUNTAIN HOUSE CHEVRON Submit completed form to: <br /> Facility address: 1124 N INTERNATIONAL PKWY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10926289 ATTN: LYNSEY SAMMONS <br /> PR0548107 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#2-3020001 -Employees thoroughly familiar with all waste handling and emergency procedures. <br /> his 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 /> r A <br /> (4 00 j 0A 2ffi <br /> Violattiionn##17-3050001 -Registered hazardous waste transporter used to transport hazardous waste. <br /> eC This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions to en or will b taken 'correct viola on: <br /> lie to at A/ <br /> 7"tAL oY� A 07�'- <br /> c F as e <br /> Violation#18-3050002-Disposed of hazardous waste at an authorized location. <br /> 'This 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 /> PP,f— 4he0f.. AD le-- Co f-re <br /> (G) -L4 <br /> Page 2 of 4 <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 />