I am an electrician. What you have here is the result of two different occurrences. First, somebody ran 220 to the garage, and either used it for a purpose, like they had a welding receptacle installed, and took it with the welder, when they moved, or they never completed the 220 circuit. At some point a 120 volt, 15 or 20 amp receptacle was added to the box. It is an illegal install at the moment, as the receptacle (15 or 20 amp, 120 volt ) is protected by an over-current device (30 amp breaker) that exceed the device rating.
The good news is that you have 95% of the work already completed to install a new 220 volt receptacle in the garage. First, it is legal to count the metallic conduit as a ground. I don't like it, and I do not do work like that, but it is acceptable to the current electrical code, in most areas. The one thing you have to ground however, is the receptacle to the box. This involves a short piece of #10 wire from the ground screw of the receptacle to the ground screw of the junction box. You will most likely be using a metal box cover with a hole in it to fit your new receptacle. Once you install everything it appears that the metal strap of the receptacle, the metal cover of the box and the metal junction box should provide an adequate ground, but they do not, and the ground jumper wire is required. Remember, the new receptacle cannot be rated for more than 30 amps.
BTW, you didn't say, but on the slight chance that you are providing a 30 amp receptacle for an RV, they are not 220 Volt, they are 30 amps at 120 Volts. It's an easy mistake to make, and the RV forums frequently have tales of woe from DIYers, who destroyed every electrical part of their camper because they thought the big heavy cord, and huge plug from the RV simply must be 220 volts. (sadly enough, there are plenty of tales of idiot electricians who do exactly the same thing, and destroy their customer's RVs)