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SAN MOWN Environmental Health Department <br /> Corrective Action Statement <br /> R rm- August 2D, 2020- Undargr our d Storage Tank inspection repCft <br /> For each violatign listed bebw, imdicato if the mlation has bBen c0maated ar Mll be corlmlad W a 05rle� data. <br /> �11sD, describe what was dortie to Corr ct the ViOtatipn in lho spaca provided h-olm each Million. Submit fts <br /> 00nP&eled farm with [he Return t0 COMphance CerlificatiOn within.34 days 4 inspect . ff YOU hale anyCIUASlion3. <br /> PIEWe contact Pauf Ngo at(20$)46;�-3432-or pnw@8jg0v.¢rg, <br /> Facililp name: MANTECA GA$ & FOOD* subXnit t0Mpiet43d farm to: <br /> Faaity+address: 1229 E LOU ISE AIDE S.IE ENVIPONME NTAL HEATH DEPARTMENT <br /> OERS fa: 101$ T ATTht- PAUL X-SO <br /> PR�LSZ7041 1.968 E 4AZELTON AVENUE <br /> STOCKTON, CA !9 205 <br /> Vialation W7 • plot pilau's ife maP riot subMilted or fai led to eornprefehy showwheF� monilollr�� is <br /> performed. <br /> JM TINS viDPEWO n wag wrracted d Tris aiolatio n will he oormted by(data); <br /> Q Supporting documervt%anoMuded <br /> I)escrit)e-Wion3 Wk,erf or yA II be taken t0 correct v-c ation: �� �f a �xS rfeae <br /> Violatron#11 S --DeE09rlafed Underground Stam Tank Cpara#Dr IdentlHcatIon Forri1" not s ubmllmd wfthh <br /> 30 days, <br /> TIN&viol-lticn was r-orrec#ed ❑ This violation will he uorr"Ited by(date): <br /> ❑ S u pporling document%inckmiod <br /> Deacrlbe actions taken or well be taken to correct violation. t4pfjq�040�/ f k 9-�-a <br /> 4'0CK-k+1 a - <br /> Fmu +br o Paga�!of 3 <br /> f 868 E. HazRon Avenue 181cck 0n, Calffornlia 95 05 '1. 2DQ 468-3420 1 F 20$4$4.013S ' www-sjgoy or'pEHD <br />