Laserfiche WebLink
S A J O A I Environmental Health Department <br /> '�•'r- —COUNTY <br /> r4.;•. Greatness grows <br /> Corrective Action Statement <br /> RE: October 24, 2019, 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(aD_sjgov.orq. <br /> Facility name: CHARTER WAY PETRO INC. Submit completed form to: <br /> Facility address: 508 W DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181345 ATTN: PAUL NSO <br /> PR0231057 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#121 - Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <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#124- "Overfill Prevention Equipment Inspection Report Form" not submitted within 30 days of <br /> inspection. <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 2 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />