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fid" - " Environmental Health Department <br /> SANJOAQUIN <br /> - — COUNTY-- <br /> �,u ,�t'' Greotness grows here. <br /> Corrective Action Statement <br /> RE: April 07, 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: FLYING J TRAVEL PLAZA#617 Submit completed form to: <br /> Facility address: 15237 N Thornton Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184349 ATTN: LYDIA BAKER <br /> PR0517272 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#115-Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> ❑ This violation was corrected ®This violation will be corrected by(date): next monitor cert. <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: In the future,the Monitoring System Certification Form <br /> will be submitted within 30 days of completion of the test. <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> ❑ This violation was corrected ®This violation will be corrected by(date): next DO Inspection <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Going forward, the DO will ensure the correct information <br /> is included in the DO reports. During the next DO,the reports from June through October 2021 will be corrected with the <br /> correct overfill prevention testing date. <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 />