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r, SIN <br /> ANJ 0 AQ I I Environmental Health Department <br /> i'� COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: August 11, 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 Gabriela Garcia-Mejia at(209)616-3037 or ggarcia-mejia@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: GABRIELA GARCIA-MEJIA <br /> PR0540987 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#101 -Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit <br /> fees. <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: Moving forward, operating permits will be paid for <br /> and maintained at the facility within the required time frame. <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> El 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: Documentation showing the alarm response to the <br /> L13 fuel alarm on 5/9/22 is included in the DO Report and will be maintained at the site. The documentation <br /> is attached. <br /> Violation#307-Failure to keep water out of the secondary containment system (post-Jul 2003). <br /> ® This violation was corrected ❑This violation will be corrected by(date): <br /> El Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Jones Covey was on site on September 9, 2022 <br /> to identify and repair the cause of the leak. A Work Order demonstrating the completion is attached. <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 />