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ED <br /> SEPY 4 2020 <br /> E NVIR pNME,\j TA. <br /> L HEALTH Environmental Health Department <br /> SAN JOAQUIPA RTme q. <br /> r_ 0LJ11TY <br /> Corrective Action Statement <br /> RE : August 27 , 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. Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Paul Nso at (209) 468-3420 or pnso@sjgov. org . <br /> Facility name : TESORO (SPEEDWAY) 68150 (WRR 6133) Submit completed form to: <br /> Facility address : 13975 E HWY 88 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10180519 ATTN: PAUL NSO <br /> PR0231622 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #215 - Failure to retain a copy of the permit to operate at the facility . <br /> V 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 : A copy of the UST Permit to Operate was <br /> e- mailed to the facilty at 13975 E Hwy 88 in Lockeford . The UST Permit to Operate was <br /> printed and placed in the Gold binder. <br /> Page 2 of 2 <br /> Rev. 8/18/2020 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468-3420 1 F 209 464 -0138 1 www . sjgov. org /EHD <br />