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11 �H�UlN Environmental Health Department <br /> r- —COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: February 10, 2022, 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 STATION#94275' Submit completed form to: <br /> Facility address: 2905 W BENJAMIN HOLT DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181335 ATTN: LYDIA BAKER <br /> PR0231952 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#118-Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> IR 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: Our testing contractor now has a new <br /> process in place to verify all teating have been submitted to the local agency and reported to <br /> Chevron weekly <br /> Violation#307-Failure to keep water out of the secondary containment system(post-Jul 2003). <br /> EX This violation was corrected ❑This violation will be corrected by(date): <br /> [3t Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Investigation/repair completed WO 5048678 <br /> Violation#315-Failure to maintain interstitial space to detect leaks before release to environment(post-Jul <br /> 2004). <br /> IR This violation was corrected ❑This violation will be corrected by(date): <br /> IR Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Sensors replaced during teating and passed <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 />