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SAN J O A Q U I N Environmental Health Department <br /> _ (`, TY <br /> Corrective Action Statement <br /> RE : November 27 , 2019 , 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 : ARCO 07049 Submit completed form to : <br /> Facility address : 800 E Kettleman Ln SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10339507 ATTN : SHEWIT WOLDEAREGAY <br /> PR0231349 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #204 - Current monitoring plan approved by the EHD not found on site . <br /> ❑ This violation was corrected ® This violation will be corrected by (date) : 12111119 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Monitoring plan will be placed onsite by the DO during the first DO inspection on 12111119 . Please refer <br /> to CERS for a copy of an approved plan . <br /> Violation #205 - Failure to submit a current UST Response Plan and have it available onsite . <br /> ElThis violation was corrected ® This violation will be corrected by (date) : 12/11 /19 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> UST Response Plan will be placed onsite by DO during the first DO inspection on 12111119 . <br /> Please refer to CERS for a copy of an approved plan . <br /> I <br /> I <br /> Violation #211 - No employee present that were trained in the operation and maintenance of the UST system <br /> by a DO . <br /> ❑ This violation was corrected ® This violation will be corrected by ( date) : 12111 /19 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> All facility employees will be DO trained during the first DO inspection on 12111119 <br /> Page 2 of 2 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 I F 209 464-0138 1 www. sjcehd . com <br />