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SAN J O A Q U I N Environmental Health Department Corrective Action Statement RE : December 06 , 2022 , Underground Storage Tank inspection report For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date . Also , describe what was done to correct the violation in the space provided below each violation . Submit this completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact Paul Nso at (209) 616-3049 or pnso@sjgov. org . Facility name : WESTERN FOOD & FUEL Submit completed form to : Facility address : 3032 E WATERLOO RD SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID : 10180877 ATTN : PAUL NSO PR0231758 1868 E HAZELTON AVENUE STOCKTON , CA 95205 Violation #107 - Failure to submit and maintain complete and current financial responsibility documents . dThis violation was corrected ❑ This violation will be corrected by (date) : ❑ Supporting documents included njf Describe actions taken or will be taken to correct violation : ) 14A ✓ Z III VN tkwiA C i cam r� S Sflv ��//UyC !/!'u f' l2 � /- � �Li � Ae Violation #118 - Failure to submit the "Overfill Prevention Equipment Inspection Report Form " within 30 days . /This violation was corrected ❑ This violation will be corrected by (date) : ❑ Supporting documents included ,� / Describe actions taken or will be taken to correct violation : ji` kr ' h rr\e �� • '/� Si/ !, rr� 1 1 Violation #202 - Failure to retain a paper or electronic copy of the permit to operate at the facility . 00� This violation was corrected ❑ This violation will be corrected by (date) : ❑ Supporting documents included Describe actions taken or will be taken to correct violation : .4x1 j � IOU iT Page 2 of 4 Rev. 9/1612020 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov. org/EHD