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Q : }o�QU I N Environmental Health Department <br />COUNTY <br />Corrective Action Statement <br />RE: September 26, 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. <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: Shell Oil Products US - Stockton Terminal Submit completed form to: <br />Facility address: 3515 Navy Dr SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10157477 ATTN: PAUL NSO <br />PR0231210 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <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: The Designated Operator (TAIT) is conducting <br />and completing the required 'Designated Underground Storage Tank Operator Visual Inspection Report'. <br />The form is being signed and acknowledged within 48 hours of receipt from the DO. <br />Violation #319 - No spill bucket, failed to contain 5 gallons, no means to keep it empty, or failed to be tested. <br />❑ This violation was corrected 0 This violation will be corrected by (date): upon permit approval <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: Shell is submitting an application for a UST <br />closure permit. for'Closure in Place'. On 10/ 18/19 Theresa Geller with Shell discussed these plans with <br />Inspector Paul NSO, and Paul conveyed that the plans to close this UST would meet the corrective action <br />plan requirement for this. On 10122119 Aaron Swol with Brinderson submitted a service request and <br />paymentfnr (`Incing the i1ST rnit to S ICFHt)_ It should he further noted that the t1ST is not heing filled <br />using the fill point where the spill bucket is located <br />RECEIVED <br />`, r 7 <br />FN N <br />YI <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 />