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SAN : aOAQUIN Environmental Health Department <br /> UNTY <br /> Corrective Action Statement <br /> RE : May 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. <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@sigov .orq . <br /> DBA CIRCLEK, REFUEL PETROLEUM INC. , 419 S MAIN ST, CERS ID: 10181307, PR0231432 <br /> Violation #319 - No spill bucket, failed to contain 5 gallons , no means to keep it empty, or failed to be tested <br /> ❑ This violation was corrected 11This violation will be corrected by (date) : <br /> I ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> - PAO Eb( Tj X25£4171go Do ME rfo31 <br /> C, lV Ny Wi9 7/fC Abri A,eou nP 1 <br /> ' P�1 / 9 �GLITE/T4Rt' y Fob' Oji /-�i� i ?S �{ LH/�)e C � iQST 7i � o iN ✓L � CEs PA + � � t3 �+ T Na <br /> C121 / . 7Ei) Lf 3bgiCl �, i�N� w4 {L frKOM �� � Tf ) Tti� R4� <br /> t' ✓JOL 4' 0 �� y �vde 6j�rS T14 ie7 P�re ij�7i7j <br /> ��V� K �,✓0� � Wi77Y LOP % of <br /> Page 5 of 5 <br /> Rev, 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468-3420 F 209 464-0138 1 www. sjcehd. com <br />