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S A N J 0 A n U I N Environmental Health Department <br /> �; 4- <br /> Corrective Action Statement <br /> RE: December 18, 2024, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please contact <br /> Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: ADELFO'S ARCO AM/PM Submit completed form to: <br /> Facility address: 3,443 CHEROKEE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10830655 ATTN:CAROL PRESTO <br /> PRO542573 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#49-2030047-Secondary containment maintained tight and has been confirmed by testing. <br /> Won i his violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included p <br /> Describe actions taken or will be taken to correct violation: �� A x (�Citrvl� (�?� CAM r <br /> Violation#53-2010007-Submitted maintained current Cert of Financial Responsibilitylmech of financial <br /> assurance(TCR 11). <br /> Lvl L9�/ i <br /> This violation was corrected This violation will be corrected by(date): <br /> ti <br /> ❑ Supporting documents included <br /> D(e}s`cri�ibee actions taken or will be taken to correct violation: °` ; 4 <br /> � u.J <br /> v <br /> Page 2 of 2 <br /> Rev.9116,2020 <br /> 1868 E. Hazelton Avenue j Stockton. California 952051 T 209 468-3420 1 F 209 464-0138 1 vrlvw.sjgov.org,EHD <br />