Laserfiche WebLink
SAN J OAQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: October 19, 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. <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 Gabriela Garcia-Mejia at(209)616-3037 or ggarcia-mejia@sjgov.org. <br /> Facility name: CHARTER WAY PETRO INC. Submit completed form to: <br /> Facility address: 508 W DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181345 ATTN:GABRIELA GARCIA-MEJIA <br /> PR0231057 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 /> Ws 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: Z2f / P yy��o rJP/ J <br /> -22L&22�//1 20.22 7 ha /flfc 7e c <br /> Page 2 of 2 <br /> Rev.91162020 <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 />