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SAN JOAOUIN Environmental Health Department <br /> C_ , ,N"t Y <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 <br /> o: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 r p J <br /> Describe actions taken or will be taken to correct violation:L <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 /> ❑ Supporting documents included 1 / <br /> Describe actions taken or will be taken to correct violatio C4 �t/�( '�� let <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 /> ❑ Supporting documents included +� ® ` 73 <br /> Describe actions taken or will be taken to correct violation: ✓ yV �1` CSFB ``� ��t�Z.�LP.�.', <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 />