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SAN 10 A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: May 23, 2022, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> DBA CIRCLEK, REFUEL PETROLEUM INC., 419 S MAIN ST, CERS ID: 10181307, PR0231433 <br /> Violation#117-Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test. <br /> P- 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: e fl Q�( �1�0 Ul p g�- `��N( RCU ►SC� <br /> Td tis EC C-O Pr . A CC'4y t 1-36W i N T#+- Q nr a ER <br /> Violation#203-Failure to maintain monitoring records for 36 months and maintenance records for 60 <br /> months. <br /> A 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: Ll. ►R�S�.t L-�S AD W C) Sl 75:_ <br /> i <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> W 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: �zLbt� i7�� l EYl TR I t..1 M V,ti j <br /> Page 3 of 4 <br /> Rev.91162020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/EHD <br />