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S <br /> Environmental Health Department <br /> SAN JOAQUIN <br /> OUINTv <br /> Corrective Action Statement <br /> RE: May 27, 2020, Underground Storage Tank inspection report <br /> ill be <br /> by a <br /> in <br /> For each violation listed below, indicate if the s done to correct the violation violation <br /> n the space provided bhas been corrected or elow each v olationv Submit thiste. <br /> Also , describe what was questions , <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any q <br /> please contact Paul Nso at (209) 468-3432 or pnso@sigov .orq . <br /> DBA CIRCLEK, REFUEL PETROLEUM INC . , 419 S MAIN ST, CERS ID: 10181307 , PRO 231432 <br /> Violation #121 IsFailure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> 0 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 /> I III WE IIIII Wool <br /> Violation #124 - "Overfill Prevention Equipment Inspection Report Form" not submitted within 30 days of <br /> inspection . <br /> 0 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 /> 71-1 E <br /> liiiiiiiiiiii NEW WIN 11 111 III= III Illinois 11 Miss III= I WE 11 <br /> i <br /> Violation #201 Is Failure to maintain monitoring , maintenance , and follow up action records. <br /> This violation was corrected 11This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : — <br /> 01J <br /> MINIMUM <br /> Page 3 of 5 <br /> Rev. 8127/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468-34201 F 209 464-0138 1 www , sjcelid. coni <br />