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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <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 /> Razi Petroleum Inc,,950 W ELEVENTH ST, CERS 1D: 10182093, PR0231401 <br /> Violation#108-Failure to implement or maintain a written agreement between the UST owner and operator. <br /> 133"' 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: Ck k-U C j <br /> Violation#110-Failure to submit the"Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> dThis 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 Plyc_CQ,-t� Ce.� <br /> Violation#202-Failure to retain a paper or electronic copy of the permit to operate at the facility. <br /> ❑ This violation was corrected 13 This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation c, , L <br /> 4 46- <br /> Page 3 of 5 <br /> F•uv 9179!202.0 <br /> 1866 E.Hazelton Avenue I Storkton,California 95205 1 T 209 468-3420 1 F 200 464-0138 1 www.sjgov org1EHD <br />