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SAN J O A Q U I N Environmental Health Department <br /> C `�7 ti-; f� ! T Y <br /> Corrective Action Statement <br /> RE : February 12 , 2020 , Underground Storage Tank 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 /> Stacy Rivera at (209) 468-3440 or sriveraosjgov. org . <br /> Facility name : TESORO ( SPEEDWAY XP ) 68152 Submit completed form to : <br /> Facility address : 401 W KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181231 ATTN : STACY RIVERA <br /> PR0231346 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #206 - Failure to comply with UST operating permit conditions . <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 : <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days . <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 : <br /> Page 2 of 2 <br /> Rev, 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />