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Environmental Health Department SAK OAQU N C O t_J N TY � Corrective Action Statement RE: April 25, 2023, 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: SAVE ON FUEL Submit completed form to: Facility address: 420 W YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID: 10180727 ATTN: PAUL NSO PR0231458 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Violation #107 - Failure to submit and maintain complete and current financial responsibility documents. LO'�T–his violation was corrected ❑ This violation will be corrected by (date): ❑ Supporting documents included Describe actions take1�or will be taken to correct violation: %e I-oui►v, Ubinoclo-a/ h zi2S Violation #113 - Failure to conduct secondary containment testing. LO–This violation was corrected ❑ This violation will be corrected by (date): 1.0 ---Supporting documents included Describe actions taken or will be taken to correct violation: pw- %14 U)^4 Qor-\e O�The- P-nw)r6 Al 'e / u iT 1 / C.4 -4-0(k k-` HPON4- 0n e-01g)"f Violation #115 - Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test. Rev. 9/16/2020 0—Tf is violation was corrected ❑ Supporting documents included ❑ This violation will be corrected by (date): Describe actions taken or will be taken to correct violation: h -P 1 6 Gcr ' 244, ' ., Page 2 of 5 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD