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Environmental Health Department <br />Corrective Action Statement <br />RE: July 16, 2024, 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Maria Lopez at (209) 616-3064 or melopez@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: MARIA LOPEZ <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to: <br />10180967 <br />7272 WEST LN <br />QUIK STOP MARKET #550144 <br />PR0231939 <br />Violation #3 - 2010013 - Facility has submitted 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: <br />Violation #50 - 2060020 - Spill buckets meet requirements, have been tested as required, and records kept <br />for 36 mths (TCR 9a). <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: <br />Page 2 of 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />x <br />The UST Monitoring Plan has been updated to reflect the correct UDC Panel Model and has been <br />submitted in CERS. <br />x <br />The spill container testing record for 7/17/23 has been sent to site to maintain and have available for <br />review.