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2019 - 11 - 05 10 : 11 Sunwest Chevron 2758 > > 2094683433 P 1 / 1 <br /> SA <br /> { . Environmental stealth Department <br /> - <br /> Corrective Action Statement <br /> RE: October 16 , 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@sjgov . org . <br /> Facility name: Sunwest Chevron Submit completed form to: <br /> Facility address : 2758 W Kettleman Ln SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10748068 ATTN: PAUL NSO <br /> PR0541416 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #108 - Failed to notify the EHD 48 hours prior to conducting testing . <br /> © This violation was corrected 11 This violation will be corrected by (date) : <br /> 1900� Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> " <br /> Violation #113 - Failure to submit " Monitoring System Certification Form " within 30 days of completion of the <br /> test. <br /> 0 This violation was corrected q This violation will be corrected by (date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation % <br /> R E <br /> ti <br /> Cy E N if <br /> N r) v o ? 019 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Rev, 8/27/2039 Page 2 of 4 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjcehd. com <br />