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SAN 1 OAQ U I N Environmental Health Department <br /> 1.i T Y <br /> Corrective Action Statement <br /> RE : June 02 , 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 /> Shewit Woldearegay at (209) 468-0216 or stwoldearegay@sjgov. org . <br /> Facility name : TESORO (SPEEDWAY) 68154 Submit completed form to : <br /> Facility address : 2500 W LODI AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181447 ATTN : SHEWIT WOLDEAREGAY <br /> PR0231356 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #107 - Plot plan/site map not submitted or failed to completely show where monitoring is <br /> performed . <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 #201 - Failure to maintain monitoring , maintenance, and follow up action records . <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 #307 - Monitoring system of the interstitial space of a double walled system not maintained . <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 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />