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SA N J OAQ�Ui I N Environmental Health Department <br /> U <br /> (_ :'_)U M T Y <br /> Grrorness grows hertz, <br /> Corrective Action Statement <br /> RE: January 14, 2025, 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 /> Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: CHEVRON USA#201761' Submit completed form to: <br /> Facility address: 1103 S MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181653 ATTN: CAROL PRESTO <br /> PR0232587 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#56-2030013-DO inspections completed at least every 30 days and meet all requirements(TCR <br /> 12). <br /> Ell 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 /> We have formally requested in writing on 1/20/2025 that Belshier discontinue the practice of pre-filling dates <br /> on the Designated Operator(DO)reports.Additionally,we asked that the Designated Operators ensure the individual signing the report <br /> personally enters the date. <br /> Page 2 of 2 <br /> Rev.9116/2020 <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 />