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SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> hvf : * <br /> Corrective Action Statement <br /> RE : July 22 , 2021 , 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 . Also , <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Paul Nso at (209 ) 616-3049 or pnso@sjgov. org . <br /> Facility name: Nella Oil #487 Submit completed form to : <br /> Facility address : 983 Moffat Blvd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10132636 ATTN : PAUL NSO <br /> PR0231691 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #208 - Failure to comply with the designated operator inspection requirements . <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date) : <br /> M Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Attached copies of both the June & July DO Reports <br /> with Section VT completed Will ensure conies will be posted at the facility for future review. Emailed a <br /> Z <br /> copy of the OPV testing report to the inspecting DO to ensure future DO Reports will reflect the correct <br /> date <br /> Violation #318 - Failed to meet spill container requirements . <br /> Pending permit app <br /> ❑ This violation was corrected ■ This violation will be corrected by ( date) : received through USPS <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : All deliveries to this location have been stopped <br /> for the 91 direct-bury tank. Our contractor mailed the permit application for spill container repairs on <br /> 07/23 /21 to San Joaquin County. <br /> Page 2 of 2 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www . sjgov. org/EHD <br />