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S A N J O A Q U I N Environmental Health Department <br /> C;)L.� N Y - <br /> Corrective Action Statement <br /> RE: December 24, 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 /> Monica De Anda at(209)616-3063 or mdeanda@sjgov.org. <br /> Facility name: NORTH POLE GAS&FOOD INC Submit completed form to: <br /> Facility address: 574 W GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181065 ATTN: MONICA DE ANDA <br /> PR0231405 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#0-2030003-Leak detection system maintains continuous monitoring that activates an audible and <br /> visual alarm. <br /> This violation was corrected This violation will be corrected by(date): b-02"s <br /> ❑ Supporting documents included <br /> Describe actions taken or will Ataken to correct violation: ( �� <br /> P <br /> p>rq S.Sr=1� <br /> Violation#0-2030016-Annular space of USTs are continuously monitored with an audible and visual alarm <br /> system(TCR 9d). <br /> This violation was corrected This violation will be corrected by(date): <br /> ❑ Supporting documents included IF <br /> Describe actions taken or will be taken to correct violation: QAIX� (A A <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 />