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ii <br /> ) <br /> SAN ° 1 Q A Q U I N Environmental Health Department <br /> COUNT Y <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.org . <br /> DBA CIRCLEK, REFUEL PETROLEUM INC. , 419 S MAIN ST, CERS ID; 10181307, PR0231432 <br /> Violation #202 - Failure to maintain the "Facility Employee Training Certificate" on-site (after October 1 , <br /> 2018). <br /> 19 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 /> - - <br /> Violation #209 - Failure to conduct the designated UST operator visual inspection at least once every 30 <br /> days. <br /> 23This 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 /> Violation #301 - UST system is not operated to prevent unauthorized release, including spills and overfills. <br /> ❑ This violation was corrected ElThis violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> IVDY ANcjwjS #4 ,&6 .+ r / T ArvA f114iiz-D szty •.7 fE'c6%n1 , cto4kt.. <br /> Page 4 of 5 <br /> Rev, 8127/2019 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www, sjcehd. com <br /> .y <br />