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SAN J O A Q U I N Environmental Health Department <br /> r; - COU NTY-- <br /> C;„ y Gareatn+ess gr�ow5 Frere. <br /> Corrective Action Statement <br /> RE: July 26, 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 /> 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#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: Copy of current testing has been distributed to <br /> technician to place in site binder. A copy is attached to this document as well. <br /> Violation#214-Failure to comply with UST operating permit conditions. <br /> VThis 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: Attached to this document Is a copy of the <br /> Retest report demonstrating all secondary containment repairs were completed on 9/22/21. <br /> A copy of the document has been sent to technician to place on site. <br /> Page 2 of 2 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />