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E V"I" <br /> JUN 0 5 2020 <br /> Environmental Health Department <br /> SAW r ,JOAQUI RNVIRONMENTAL HEALTH <br /> 41, <br /> NT ` . .__,..,_. PERMIT / SERVICES <br /> ti., r• �ttt� t� ss : t� �Ys �� � ,• �*. <br /> Corrective Action Statement <br /> RE : May 19 , 2020 , Underground Storage Tank inspection report <br /> For each violation listed below , indicate if the violation has been corrected or will be corrected by a certain date. <br /> Also , describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Paul Nso at ( 209 ) 468 -3432 or pnso@sjgov . org . <br /> Facility name : NATIONAL PETROLEUM Submit completed form to: <br /> Facility address : 713 N ELDORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10184731 ATTN: PAUL NSO <br /> 1868 E HAZELTON AVENUE <br /> PRO521604 STOCKTON , CA 95205 <br /> Violation #103 - Failure to submit and maintain complete and current financial responsibility documents . <br /> D( 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 #204 - Current monitoring plan approved by the EHD not found on site . <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 /> F <br /> Violation #205 - Failure to submit a current UST Response flan and have it available onsite . <br /> lThis violation was corrected 11 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 2 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 T 209 468 - 3420 F 209 464 -0138 www . sjcehd . com <br />