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N40IIIN Environmental Health Department <br /> I�1 1J <br /> COUNTY <br /> Greotness grows here. <br /> r. <br /> Corrective Action Statement <br /> RE: June 14, 2021, 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 Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> Facility name: CHEVRON 352324 Submit completed form to: <br /> Facility address: 3304 W HAMMER LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184253 ATTN: LYDIA BAKER <br /> PR0516354 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <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: Records are kept electronically on a tablet on site,which are <br /> accessible by all staff and inspectors. The records that were missing were located in another folder on the tablet and now all <br /> records for the last 60+months are in the appropriate folder. I've attached the requested work orders for the install of the new <br /> pumps and the software upgrade of the Veeder Root. <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <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 person that handles review and filing of DO Reports <br /> has been trained to review the dates of each DO report to ensure the inspection date matches the dates of acknowledgment and <br /> date of report received and to work with DO in the event that a correction is needed.All DO reports for the last 36 months are <br /> available for review electronically on site. <br /> Page 2 of 2 <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 />