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S -JOAQUK Environmental Health <br /> Corrective Action Statement <br /> RE: January 13, 2026, 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 /> Monica De Anda at(209)616-3063 or mdeanda@sjgov.org. <br /> Facility name: ARCO STATION#83560" Submit completed form to: <br /> Facility address: 2908 W BENJAMIN HOLT DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERSID: 10181253 ATTN: MONICA DE ANDA <br /> PR0231021 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-2011013 Facility has submitted a complete and accurate UST Response 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: 1,F1 CGi1, bxM 7eA 161 <br /> rAn av , nuJ}�C <br /> Violation#40-2011002-Installation,repair,lining,integrity,calibration, and release records maintained for <br /> life of UST. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included I,,� _ <br /> Describe actions taken or will be taken to correct violation: -r( ni-tC)( PICWls W A u <br /> l i a)nc� <br /> Violation#44-2031031`-Facility has corrected all previously cited violations. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included L q �+� <br /> Describe actions <br /> �ta.-ken or will be taken to correct violation: IV III l rlry � kfi n <br /> n <br /> - Page 2 of 2 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue i Stockton, California 952051 T 209 468-3420 i F 209 464-0138 1 ww,,v.sjgou org EH'D <br />