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Environmental Health Department <br /> SAN �,IOAQUIN <br /> COUNTY -- <br /> 4 <br /> ` ff , Greatness grows hey <br /> Corrective Action Statement <br /> RE : June 14 , 2022 , 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 /> Facility name : TWO GUYS FOOD & FUEL Submit completed form to : <br /> Facility address : 147 E LATHROP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10181421 ATTN : PAUL NSO <br /> PR0232353 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation # 115 - Failure to submit " Monitoring System Certification Form " within 30 days of completion of the <br /> test. <br /> This violation was corrected [I This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : V V l s� n 6c (J rl INN" ( !1 <br /> Violation # 118 - Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days . <br /> This violation was corrected ❑ This violation will be corrected by (date) : U � `� p <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : u v ( ' S� ^ 061 0, 1 <br /> div, <br /> Page 2 of 2 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjgov. org/EHD <br />