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N TOWN Environmental Health Department <br />Corrective Action Statement <br />RE: February 24, 2022, Aboveground Petroleum Storage Act 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) 610-3049 or pnso�r sjgov.org. <br />Facility name: <br />FOOD EXPRESS INC <br />Facility address: <br />1250 E MADRUGA RD <br />CERS ID: <br />10182799 <br />PR0515716 <br />Violation #103 - Failed to file HMBP or annual facility tank statement. <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN:PAUL NSO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />PP This violation was corrected 0 This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: Aroaca I Irl cvn cra.5 <br />Violation #106 - Failed to submit a certification and written response within 30 days for minor violations. <br />❑ This violation was corrected This violation will be corrected by (date): 52/2 02 <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: irk its r <br />an -4 UOIJIAlej(1`n /2/2dZ <br />Violation #620 - Failed to train personnel on all discharge prevention details listed in this section. <br />0 This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be/takes to correct violation: _ <br />Page 2 of 3 <br />Rev. 9 16;2020 <br />U <br />E. Ha 7ollun /.vf f, 3"f:t. �, '.-t j fi 468 . 2� 1 , F 2,10046 -.) ._ j �,, ..j � _ 1,,, r D <br />