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SAN J O AQ U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: April 28, 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: AHMEDS SONS INC Submit completed form to: <br /> Facility address: 1257 W YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181329 ATTN: PAUL NSO <br /> PR0231463 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#113 -Failure to conduct secondary containment testing. <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: l"`� (! <br /> Violation#117 -Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test. <br /> ❑ his violation was corrected El This violation will be corrected by(date): <br /> supporting documents included �/ <br /> Describe actions taken or will be taken to correct violation: rV� �!i �^% d l a— 771E <br /> % L i <br /> Page 2 of 2 <br /> Rev.911612020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.sjgov.org/EHD <br />