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619, 05/031,Z'02- <br />SAN J O A Q U I N Environmental Health Department <br />Corrective Action Statement <br />RE: March 28, 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 />deacrib. what was done to correct the If <br />in the apace provided below each violation. Submit this completed form <br />with the Return to Compliance Certification within 30 days of inspection_ If you have any questlons, please contact <br />Paul Nso at (209) 818-3049 or pnso�s)gov. org_ <br />Facility name: CAGASOLINE INC <br />Facility address: 2115 W YOSEMITE AVE <br />CERS ID: 10186687 <br />PR0526335 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: PAUL NSO <br />113613 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />violation €6305 - Failed to maintain secondary containment (e.g. failure of secondary containment testing). <br />This violation was corrected ) This violation will be corrected by (date): <br />O Supporting documents Included <br />Describe actions taken or will be taken to correct violation: <br />Violation #319 - Failure to comply with overfill prevention equipment requirements. 1 <br />6' This violation was corrected LL36hls Violation will be corrected by (date): <br />� <br />XP --supporting documents Included Lp <br />Describe actions taken or will be taken to correct violation_ <br />Page 2 of 2 <br />Rev Bn 9r202tl <br />1868 E. Hazelton Avenue i Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 i wvnv_sjgov. orprEHD <br />