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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Greotness grows here <br /> Corrective Action Statement <br /> RE : April 28 , 2021 , 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 . <br /> Also , describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Paul Nso at (209) 616-3049 or pnso@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 : PAUL NSO <br /> PR0231463 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #118 - Failure to submit the " Overfill Prevention Equipment Inspection Report Form " 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 /> &A QW�- <br /> Violation # 122 - Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <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 /> 4,4 0 c <br /> Violation #319 - Failure to comply with overfill prevention equipment requirements , <br /> his violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included DD �� �/� <br /> Describe actions to or will be taken to correct violation : 4 cz( J S J94 " <br /> Page 2 of 2 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 I T 209 468-3420 1 F 209 464-0138 1 www . sjgov . org/EHD <br />