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Ak Environmental Health Department <br /> r <br /> COUNTY..,.......... <br /> Corrective Action Statement <br /> RE: February 03, 2025, 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 /> Lynsey Sammons at (209) 616-3067 or Isammons@sjgov.org. <br /> A&A GAS & FOOD MART, 16 E HARDING WAY, CERS ID: 10181239, PR0231136 <br /> Violation #13 -2010017 -Spill bucket testing results submitted to the UPA within 30 days of 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: <br /> 141 <br /> One- <br /> Violation #14 -2010018 - Overfill prevention equipment inspection report form submitted to the UPA within 30 <br /> days. <br /> f/ This violation was corrected ❑ This violation will be corrected by (date): G� <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation #53 -2010007 - Submitted/maintained current Cert of Financial Responsibility/mech of financial <br /> assurance (TCR 11). <br /> EY"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 /> re lueo ' <br /> y <br /> Page 3 of 4 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />