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DECEIVED <br /> SAN J O A Q U I N APR 11 202Fnvironmental Health Department <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/ SERVICES <br /> Corrective Action Statement <br /> RE : March 14 , 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 . Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Carol Presto at (209 ) 616-3061 or cpresto@sjgov . org . <br /> Facility name : Costco Wholesale #38 ( Gas Station ) Submit completed form to : <br /> Facility address : 1630 E Hammer Ln SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10749253 ATTN : CAROL PRESTO <br /> PR0518624 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 /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Barghausen Consulting Engineers , Inc , made <br /> the appropriate changes in CERS , per the violation regarding the UDC Monitoring , Secondary <br /> Containment , and A/V alarms . This correction was submitted on 3/ 15/2024 . <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 : The corrected CERS UST Monitoring Plan was <br /> emailed to the facility and to Belshire for electronic upload for recordkeeping . The corrected CERS documents <br /> are now available onsite . <br /> Violation #214 - Failure to comply with UST operating permit conditions. <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 : A permit application was submitted to the agency <br /> on March 25 , 2024 and pending approval . <br /> Page 2 of 2 <br /> Rev, 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 T 209 468-3420 1 F 209 464-0138 1 www . sjgov . org/EHD <br />