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SAN J O A Q U I N Environmental Health Department <br /> c <br /> (- ( j r••! 1y <br /> Corrective Action Statement <br /> RE : March 15 , 2023 , 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 Shewit Woldearegay at (209) 616-3063 or stwoldearegay@sjgov. org . <br /> Facility name : CHEVRON STATION #307709* Submit completed form to: <br /> Facility address : 10858 TRINITY PKWY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10186665 ATTN : SHEWIT WOLDEAREGAY <br /> PRO526212 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 /> Yl This violation was corrected ❑ This violation will be corrected by ( date) : <br /> Q Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Site manager located work order <br /> Violation #205 - Failure to submit and have current UST Monitoring Plan readily accessible at the facility . <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 : Submitted updated Monitoring Plan <br /> Violation #209 - Failure to maintain a copy of the " Facility Employee Training Certificate" on -site . <br /> tt] This violation was corrected ❑ This violation will be corrected by (date) : <br /> Q Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Corrected employee training dates <br /> Page 2 of 3 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468-34201 F 209 464-0138 1 www, sjgov. org/EHD <br />