Laserfiche WebLink
SAN 1OAQUIN Environmental Health Department <br /> t� 0tl l`j ti %, AMENDED-2 <br /> Corrective Action Statement 1/27/2025 <br /> RE: January 24, 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: KWIK SERV LODI BW 113` Submit completed form to: <br /> Facility address: 420 W KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERSID: 10181407 ATTN: CAROL PRESTO <br /> PR0231906 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #2 -2010010 -Complete and accurate UST Operating Permit Application has been submitted.. <br /> ® This violation was corrected f This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation #5 - 2030041 -A current facility plot plan is maintained and has been submitted.' _ <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: \\ { t <br /> r�eAx lakc i 2® c cs k+ ,=c Pei 1f\ C t'"1Zt. rF U <br /> Violation #14 - 2010018 -Overfill prevention equipment inspection report form submitted to the UPA within 30 <br /> days. <br /> I$ 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: CC,r,S W + " `04 `� 1 <br /> mci Aar. J� <br /> Page 2 of 4 <br /> Rev.9/16/2020 <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 />