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Environmental Health DepartmentCorrective Action StatementRE: December 12, 2019, Underground Storage Tank inspection reportFor each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date.Also, describe what was done to correct the violation in the space provided below each violation. Submit thiscompleted form with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please contact Paul Nso at (209)468-3432or pnso@sjgov.org.SJC ENVIRONMENTAL HEALTH DEPARTMENTATTN: PAUL NSO1868 E HAZELTON AVENUESTOCKTON, CA 95205Facility name:Facility address:CERS ID:Submit completed form to:FOOD 4 LESS FUEL CENTER*101843653408 MANTHEY RDPR0517521Violation #118 - Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form".This violation was correctedThis violation will be corrected by (date): Supporting documents includedDescribe actions taken or will be taken to correct violation:Violation #121 - Failure to implement corrections and submit written response within 30 days of receiving the report.This violation was correctedThis violation will be corrected by (date): Supporting documents includedDescribe actions taken or will be taken to correct violation:Page 2 of 3Rev. 8/27/20191868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com