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� f1 � Environmental Health Department <br /> N{ V N <br /> -r <br /> -COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: February 26, 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 /> Aaron Madera at(209)616-3065 or amadera@sjgov.org. <br /> Facility name: GAS&SHOP Submit completed form to: <br /> Facility address: 1002 FRONTAGE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180637 ATTN:AARON MADERA <br /> PR0231604 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#11 -2030048-Sec containment testing conducted per requirements&records kept for 36 mths <br /> (TCR 9d). <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: Secondary containment testing was completed on <br /> March 13, 2025. <br /> Testing was completed although last testing was April 2022. <br /> Violation#52-2030036-Overfill prevention system has not been overridden and meets overfill requirements <br /> (TCR 9b). <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 /> Testing was completed on March 13, 2025 <br /> Page 2 of 4 <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 />