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Environmental Health 1 tsl. LP <br /> Corrective Action Statement <br /> RE : November 15 , 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 form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Paul Nso at (209 ) 616-3049 or pnso@sjgov . org . <br /> Facility name : CHARTER WAY SHELL* Submit completed form to : <br /> Facility address : 620 W DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181363 ATTN : PAUL NSO <br /> PR0231058 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #208 = Failure to comply with the designated operator inspection requirements . <br /> ❑ This violation was corrected [IrThis violation will be corrected by (date ) : ( ( I tic <br /> ❑ Supporting documents included �f <br /> Describe actions taken or will be taken to correct violation : jN !� / q f/t_ y <br /> Page 2 of 2 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 T 209 468-3420 1 F 209 464-0138 1 www .sjgov . org! F <br />