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S Q N AQN Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE : May 03 , 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 for <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Frederick Ernest at (209 ) 616-3026 or fernest@sjgov. org . <br /> Facility name : NATIONAL PETROLEUM Submit completed form to: <br /> Facility address : 713 N EL DORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10184731 ATTN: FREDERICK ERNEST <br /> PR0521604 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #102 - Failure to submit a complete and accurate application for a permit to operate a UST . <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 /> This violation was corrected everything has been submitted to cers <br /> Violation #207 - Failure to maintain designated operator inspection reports and all attachments on site for 36 <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 /> This violation was corrected from <br /> now on we will keep all copies in <br /> history <br /> ViV #208#208 - Failure to comply with the designated operator inspection requirements . <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 /> This violation is corrected from now on <br /> we will keep all records on site <br /> Page 2 of 3 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 I T 209 468-3420 I F 209 464-0138 1 www , sjgov. org/EHD <br />