Laserfiche WebLink
SAN J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> Corrective Action Statement <br /> RE:June 20,2023, 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. <br /> Also,describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Stacy Rivera at(209)616-3043 or srivera@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:STACY RIVERA <br /> PR0232353 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#104-Failure to submit a complete and accurate UST Monitoring Plan. <br /> XThis violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included (d p l <br /> Describe actions taken or will be taken to correct violation:j �( l STZ q���r�-J, gM,0y.�1 r� r� <br /> F(Cy, 0:1 C F 8.� 4 L 0V' et tCd T�'ie r OAf0. + V"1 1 [ �ih 1:Q0<26)F <br /> Violation#107-Failure to submit and maintain complete and current financial responsibility documents. <br /> -)� This violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violatio <br /> Violation#115-Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> KThis violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included `/ <br /> Describe actions taken or will be taken to correct violation: �0 f Pla,'3 e <br /> Page 2 of 3 <br /> Rev.9/16/2020 <br /> 1868 E.Hazelton Avenue i Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />