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SAN JOAQUIN Environmental Health Department <br />C C:? iV 7 Y <br />Corrective Action Statement <br />RE: March 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 Kristina Saetem at (209) 616-3045 or ksaetem@sjgov.org. <br />Facility name: <br />Gemco Ripon Truck Plaza Inc. <br />Submit completed form to: <br />Facility address: <br />1002 E FRONTAGE RD <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: <br />10180637 <br />ATTN: KRISTINA SAETERN <br />PR0231604 <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation 9102 -Failure to submit a complete and accurate application for a permit to operate a UST <br />This violation was corrected <br />❑ Supporting documents Included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Violation #104 - Failure to have an approved UST Monitoring Plan. <br />'I;k This violation was corrected <br />❑ Supporting documents included <br />(;LA M % \A A G, vh-25 <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />av 4 4PY-"J'A <br />Violation #105 - Failure to have an approved UST Response Plan. <br />Rev. 9A6/2020 <br />V This violation was corrected <br />❑ Supporting documents included <br />c— ( E,7 K.s 10 -A- <br />❑ This violation will be corrected by (date): <br />S M,14 <br />Describe actions taken or will be taken to correct violation: cckz <br />aww, � i') ('�P r -JA <br />Page 2 of 6 <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 />