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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2023
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Last modified
8/28/2023 2:49:20 PM
Creation date
2/22/2023 11:03:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN JOAQUIN Environmental Health Department <br /> Corrective Action Statement <br /> RE : June 05 , 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 <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 /> TIWANA GAS $ FOOD , 1210 E HAMMER LN , CERS ID : 10181355, PR0231125 <br /> Violation #208 - Failure to comply with the designated operator inspection requirements. <br /> C9 "�This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : Lot e*\ so ^c. <br /> � 0 In 5 'e O-luw+ 12t'a � v . �� car i �C� > w. C�c � ° {L <br /> Page 3 of 3 <br /> Rev. 9/1612020 <br /> 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 408-3420 1 F 209 464-0138 1 wwwAgov , org/EHD <br />
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