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DocuSign Envelope ID:5A01AC00-BBOD-4367-9CEC-1667DBACB81E <br /> SAN J O A Q I Environmental Health Department <br /> -• —COUNTY - <br /> reotness grows here. <br /> Corrective Action Statement <br /> RE: July 10, 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: FedEx Ground -Tracy Submit completed form to: <br /> Facility address: 5655 Hood Way SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10689070 ATTN: PAUL NSO <br /> PR0540345 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #123 - Failure to submit the "Spill Container Testing Report Form"within 30 days after the test. <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: Avised Testing Company to submit all testing <br /> documents in a timely and correct manner within 30days. Attached requested Testing Reports <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: Attached documents of monthly inspections <br /> , monitoring, testing - Records always avaliable onsite via secure FEG Vault online portal to review <br /> Violation #205 - Failure to submit a current UST Response Plan and have it available onsite. <br /> l( This violation was corrected ❑ This violation will be corrected by (date): <br /> IV Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Attached (ERP) Plan <br /> Displayed onsite and avaliable in secured online system to review <br /> Page 2 of 3 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />