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SAN J 0 AQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> i <br /> RE: August 10, 2023, 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. Razi Petroleum Inc Submit completed form to. <br /> Facility address 950 W ELEVENTH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID 10182093 ATTN-PAUL NSO <br /> PR0231401 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 9104-Failure to submit a complete and accurate UST Monitoring Plan. <br /> Q 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 i 26A cc� C r�7 <br /> Violationn#106-Failure to submit a complete and accurate UST Response Plan. <br /> 9" This violation was corrected ❑This violation will be corrected by(date): <br /> O Supporting documents included j <br /> Describe actions taken or will be taken to correct violation: U s. U S lu CQ C <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> t?' 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. U 160, Y c-, <br /> r srsWxo Page 2 of 5 <br /> 1&f tS L Hazeilon Avenue I Stockton,California 95205 1 T 209 468 3420 1 F 209 464-0138 1 www ejgov©rglEHO <br />