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Environmental Health Department <br /> IJOAQUIN <br /> 1 r P <br /> . <br /> Corrective Action Statement <br /> RE : June 14 , 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 /> farm with the Return to Compliance Certification within 30 days of inspection , If you have any questions , please <br /> contact Carol Presto at (209) 616-3061 or cpresto@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 : CAROL PREEITO <br /> PR0231125 1866 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Vlolation #107 - Failure to submit and maintain complete and current financial responsibilit! f documents. <br /> This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included �f A <br /> Describe actions taken or will be taken to correct violation: <br /> t V1 &A C 12 f 90 6A <br /> Violation 9208 . Failure to comply with the designated operator Inspection requirements. <br /> 0 This violation was corrected IQ/This violation will be corrected by (date), llJ 2 � r <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: �✓� ( S c1 rL" <br /> Violation #306 - Failure to remove, analyze, and properly dispose of water in secondary containment (pr"ut <br /> 2003 ). <br /> ED/This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents Included <br /> I ( f YL <br /> Describe actions taken or ill be taken to correct violation : l/J ' ^' V � D <br /> or t of <br /> Wage 2 of 2 <br /> Rev. ene12020 <br /> 1868 E . Hazelton Avenue i Stockton , California 952051 T 209 466-3420 I F 209 464-C138 I www. sjgov. org/EHD <br /> Received Time Jun , 29 , 2022 3 : 03PM No . 7250 <br />