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SAN JOAHIN Environmental Health Department <br /> Corrective ,fiction Statement <br /> RED Seplember 26, 2025, InspecNan report <br /> For ee hl vf�kn listed below,Indfcale If the viCAA flon has been cwecled or wlif be corracled by a cerialn date. Also, <br /> descrit*whal was;dune le convcl the OnLulion in the space provided below ear;ll vlolalion, Submit lhfs completed fotm <br /> with',t+e Ratum to Conilrlinnce Certification within 30 daya of hnispeolion. If you have any CtuRvtiorra_plearre r. elscl <br /> Mfm Arlo at(209)616-W31 or Wiwi.sslo@sjgov,arp, <br /> Fadiity mime; BANK OF STKN AIRPORT HANGAR 93 Submit Cvmpleied form to: <br /> FscaliN.akddress: 1941 E LOCKHEED CT SJC ENVI PON ME NTAL HEALTH#DEPARTME 7 <br /> 71110 <br /> RS ID: 10181291 ATTN--ALLEN ASID <br /> PiRD231$91 1868 E HAZELTON AVENUE <br /> STOCK ON. CA 95205 <br /> Viola#ion 410-"30074-Annual Monitoring Sysleirl Certification Form to lbe CO PAwHhin 30 days of <br /> complelIori of the leg. <br /> 9 This%lolailon was cyon-ected ❑ This violation wiJI be wrrected by(dale): <br /> 0 Supporting documents included <br /> D,E=ribs aclion&laken or will be taken to Correct vlolslion: .�` + -jT'id Cj, , K <br /> V]uhltiOn#13-2010017-Spill bucket testing reaults auhrni#ted to the IJPA within 30 days of tasting, <br /> This viI01460n waS oorranted 0 This Waiation will be correclod by(data),- <br /> 0 Supporting docurnenis Included <br /> Describe actions taken ar wile be taken to cwreet vialSVon: <br /> Page 2 of 3 <br /> 1868 _Kazelmn Avenue I Slockton, Cadifvrr}Ja 952Q51 T 2D9 488ti3420 1 J: 209 4S4-013b k www,sfgov.arq"o <br />