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1 <br /> SAN �� � � � � � � Environmental Health Department <br /> 111 U <br /> .L. N y - <br /> jLP <br /> Corrective Action Statement <br /> RE : April 03 , 2024 ,, 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 Matthew Won at (209 ) 616-3029 or MWON@SJGOV , ORG <br /> Facility name : SAVE ON FUEL Submit completed form to: <br /> Facility address : 420 W YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID ' 10180727 A No MATTHEW WON <br /> PR0231458 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #208 - Failure to comply with the designated operator inspection requirements . <br /> El This violation was corrected 1,01P(iis violation will be corrected by (date) : O. S 3 �-� <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : �e �J / ('� t� ; ('r � ,�Q h� I )i <br /> � , l o// Slgh���/ k�` ► � / �� 4 ; lid �qP LP <br /> I <br /> Page 2 of 2 <br /> Rai 9r16i2020 <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 4613-342 F 209 464- 0138 1 www , siQov . org/ EHD <br />