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SAN J O Q Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: April 01, 2024, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Matthew Won at(209)616-3029 or MWON@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: MATTHEW WON <br /> PR0231463 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#106-Failure to submit a complete and accurate UST Response Plan. <br /> ❑shis violation was corrected ❑This violation will be corrected by(date): <br /> upporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#109-Failure to submit"Designated Underground Storage Tank Operator Identification Form" <br /> within 30 days. <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: / <br /> Page 2 of 5 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />