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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />Corrective Action Statement <br />RE: March 21, 2022, 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 Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br />Facility name: CAGASOLINE INC Submit completed form to: <br />Facility address: 2115 W YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10186687 ATTN'PAUL NSO <br />PR0526335 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #122 - Failure to implement corrections and submit written response within 34 days of receiving the <br />report. <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: ' <br />n , G I _ At L 44 .1 <br />Rev. 911612020 <br />(I— <br />Ui�� <br />w e cue O�,- 41'- � <br />914 -�'L <br />ovq <br />Page 2 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 I www.sjgov.org/EHD <br />