Laserfiche WebLink
S A N J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: June 02, 2025, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please contact <br /> Made Lopez at(209)616-3064 or melopez®sjgov.org. <br /> Facility name: TIWANA GAS&FOOD Submit completed form to. <br /> Facility address: 1210 E HAMMER LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID 10181355 ATTN:MARIA LOPEZ <br /> PR0231125 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#2-2010010-Complete and accurate UST Operating Permit Application has been submitted.. <br /> M 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: C—) f\- e <br /> C'\ (3G o y rn b-" <br /> v <br /> Violation#7-2010003-Owner/Operator submitted DO form and/or informed the CUPA of any change(s) <br /> within 30 days(TCR 10). <br /> @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: V ��4-4 TC cP> <br /> Page 2 of 3 <br /> Rev.9116f2020 <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 />