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SAN 10AQUIN Environmental Health Department <br /> couNTY <br /> Corrective Action Statement <br /> RE : April 11 , 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 : 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 : SHEWIT WOLDEAREGAY <br /> PR0517272 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #104 - Failure to submit a complete and accurate UST Monitoring Plan . <br /> ® This violation was corrected ❑ This violation will be corrected by ( date ) : <br /> M Supporting documents included <br /> Describe actions taken or will be taken to correct violation : The leak detector on Tank 2 has been confirmed by a JCG <br /> tech to be a VMI LD3000 . Photographs are attached . Tank 3 is a siphon only tank and no LLD is present. CERS matches <br /> what is found on site . <br /> Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months . <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 : The SB989 test report from 10/28/2022 has been placed <br /> on site in the appropriate binder and is attached . <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 : A copy of the Monitoring Plan has been placed on site . <br /> Page 2 of 3 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 I F 209 464-0138 1 www. sjgov. org/EHD <br />