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� -~_ SA N J OAQ U I N Environmental Health Department OT COUNTY— Greatness gross hore Corrective Action Statement RE: February 05, 2024, Hazardous Materials 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 Carol Presto at(209)616-3061 or cpresto@sjgov.org. Facility name: A&A GAS&FOOD MART Submit completed form to: Facility address: 16 E HARDING WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID: 10181239 ATTN:CAROL PRESTO PR0521021 1868 E HAZELTON AVENUE STOCKTON,CA 95205 Violation 05-Failed to electronically submit hazardous materials inventory for all reportable materials on site. f3 This violation was correctedZ ZL ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: t%/ / S Violation#6-Failed to electronically submit a site map with all required content. LTJ This violation was correctedZ� �- ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: / re it L>n Z yZ Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened release. 13 This violation was corrected ❑This violation will be corrected by(date): 2--/ ❑ Supporting documents included / Describe actions taken or will be taken to correct violation: C J�c �� ' �s "� l�l�, L Rev.91612020 Page 2 of 3 X868 E-Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.sjgov.org/EHD