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Docusign Envelope ID: BDD72E56-4211-8CC0-82C0-F6EDF9951BEB <br /> SAN <br /> J 0 A Q U I Environmental Health Department <br /> r.� COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: May 18, 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 /> Aaron Madera at(209)616-3065 or amadera@sjgov.org. <br /> Facility name: PARK ST PETROLEUM INC Submit completed form to: <br /> Facility address: 642 N HUNTER ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180657 ATTN:AARON MADERA <br /> PR0231148 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-2011008-Submitted/maintained current Cert of Financial Responsibility/mech of financial <br /> assurance(TCR 11). <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#38-2011003-Records of release detection monitoring and maintenance properly maintained for <br /> 36 months(TCR 9d). <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 3 <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 />