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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: January 23, 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 Gabriela Garcia-Mejia at(209)616-3037 or ggarcia-mejia@sjgov.org. <br /> Facility name: VALLEY PACIFIC FRESNO AVE CARDLOCK Submit completed form to: <br /> Facility address: 1524 FRESNO AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182249 ATTN: GABRIELA GARCIA-MEJIA <br /> PR0506545 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#104-Failure to submit a complete and accurate UST Monitoring Plan. <br /> j$I This violation was corrected ❑This violation will be corrected by(date): <br /> 04 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: A updated UST Monitoring Plan has been <br /> submitted to CERS as of January 4, 2022 <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> NI 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: In August of 2022, a Cardlock Supervisor <br /> position was added to better distribute facility responsibilities and provide a more timely <br /> response to issues that may arise. <br /> Violation#205-Failure to submit and have current UST Monitoring Plan readily accessible at the facility. <br /> N This violation was corrected ❑This violation will be corrected by(date): <br /> J8( Supporting documents included <br /> Describe actions taken or will be taken to correct violation: A updated UST Monitoring Plan has been <br /> submitted to CERS as of January 4, 2022 <br /> Page 2 of 3 <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 />