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SAN JOAQUIN Environmental Health Department <br /> COUNI Y <br /> Corrective Action Statement <br /> RE:January 24, 2024, 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 slwoldearegay@sjgov.org. <br /> TRACY SHELL,3725 N TRACY BLVD,CERS ID: 10181411, PR0231417 <br /> Violation#116-Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days. <br /> 0 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: Overfill report from 8/18/23 attached. <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <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: In the future,correction will be implemented <br /> within 30 days of receiving notice. <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> 4Z 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 the future, monitoring and maintenance <br /> records will be maintained for the required amount of time. <br /> Page 3 of 6 <br /> Rev.9/162020 <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 />