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SAN IOAQUIN <br />EI1VIr011lilenta� Health DetoartmF:nt <br />Corrective Action Statement <br />RE: May 06, 2021, Underground Storage Tank inspection report <br />For each violation listed below, indicate it 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) 616-3049 or peso r@sjgov.org. <br />DBA CIRCLEK, REFUEL PETROLEUM INC., 419 S MAIN ST, CERS ID: 10181307, PR0231433 <br />Violation #203 -Failure to maintain monitoring records for 36 months and maintenance records for 60 <br />months. <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 />t <br />w <br />NED <br />Violation #206 -Failure to have a current UST Response Plan available on site. <br />� This violation was corrected ❑This violation will be corrected by <br />❑ Supporting documents Included <br />Describe actions taken or will be taken to correct violation: AlOL✓ <br />Page 3 of 3 <br />Rev. 9!16!2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 (T 209 4 613-34 2 0 j F 209 4ti4-0138 I wwwsjc,7ov.urg/EHD <br />