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SAN 10 A Q U I N Environmental Health Department <br />C° T COUNTY <br />Ll <br />+'. <br />Greatness grows he <br />Corrective Action Statement <br />RE: July 26, 2021, Hazardous Materials 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 Lydia Baker at (209) 616-3046 or (baker@sjgov.org. <br />STOP N SHOP, 1856 W COUNTRY CLUB BLVD, CERS ID: 10180831, PR0521222 <br />Violation #10 -Failed to electronically update the HMBP within 30 days of substantial change in operations. <br />❑ This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Violation #12 -Failed to have the HMBP readily available to facility or EHD personnel. <br />Rev. 9/16/2020 <br />This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />correct violation: <br />RECEIVED <br />JAN <br />Describe actions taken or will be taken to <br />0 5 2022 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Page 4 of 4 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />