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SAN �� IIIN Environmental Health Department <br /> -COUNTY <br /> Greotness grows here. <br /> r. <br /> Corrective Action Statement <br /> RE: July 20, 2021, Aboveground Petroleum Storage Act 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 Claudia Muro at(209)561-8923 or cmuro@sjgov.org. <br /> Facility name: Pilot Travel Center Lathrop- 1017 Submit completed form to: <br /> Facility address: 345 Roth Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10726990 ATTN: CLAUDIA MURO <br /> PR0542166 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#112-Failure to complete and maintain a Substantial Harm Criteria certification. <br /> x❑ This violation was corrected ❑This violation will be corrected by(date): <br /> x❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: The SPCC Plan has been amended and will be posted at the site <br /> pending SJCDEH approval. <br /> Violation#301 -Failed to amend Plan as necessary. <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 SPCC Plan has been amended and will be posted at the site <br /> pending SJCDEH approval. <br /> Violation#608-Plan failed to address disposal methods for recovered materials. <br /> IS 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 SPCC Plan has been amended and will be posted at the site <br /> pending SJCDEH approval. <br /> Page 2 of 4 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />