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Environmental Health Department <br /> SAN . 0. U I <br /> Corrective Action Statement <br /> RE: May 04 , 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. <br /> Also , describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Paul Nso at (209) 468-3432 or pnso@sjgov. org. <br /> Facility name : SMK CHEVRON Submit completed form to: <br /> Facility address : 25651 N HVVY 99 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181469 ATTN: PAUL NSO <br /> 1868 E HAZELTON AVENUE <br /> PR0231628 STOCKTON , CA 95205 <br /> Violation #106 - Failed to have an approved UST response plan. <br /> it 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 #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: p <br /> Page 2 of 4 <br /> Rev. 8/27/2018 <br /> 1868 E. Hazelton Avenue i Stockton , California 95205 T 209 468-3420 ) F 209 464-0138 ( www. sjcehd. com <br />