Laserfiche WebLink
SAN J O A U ( Enviro ntal Health Department <br /> Corrective X6tIon Statement <br /> RE: November 04, 2019, 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@sjgov. org . <br /> CHARTER WAY SHELL* , 620 W DR MARTIN LUTHER KING JR BLVD , CERS ID: 10181363, P <br /> Violation #118 - Failure to submit the "Underground Storage Tank Statement of Understanding and <br /> Compliance Form " . <br /> ®liThis violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included f <br /> Describe actions taken or will be taken to correct violation : ' ! - l lit <br /> Violation #320 - Failure to comply with the installation , inspection , or record keeping of the overfill <br /> prevention . <br /> C3/ This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will betaken to correct violation : Ilt a roo� V L. <br /> f7 tN <br /> / t <br /> Page 3 of 3 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 i www . sjcehd. com <br />