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S A N J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE:May 19,2025, 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 /> Allen Asio at(209)616-3031 or allen.asio@sjgov.org. <br /> Facility name: LA FAVORITA DBA J AND L MARKET Submit completed form to: <br /> Facility address: 8115 S EL DORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180529 ATTN:ALLEN ASIO <br /> PR0231563 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#12-2010009-Secondary containment test results submitted to the CUPA within 30 days after the <br /> test.. <br /> Ed/This violation was corrected ❑This violation will be corrected by(date): <br /> El Supporting documents included <br /> Describe actions taken or will be taken to correct violation: U` ��l �f <br /> �A t f p" ��Y� e r vt Cc'vr.� <br /> Violation#56-2030013-DO inspections completed at least every 30 days and meet all requirements(TCR <br /> 12). <br /> IJ This violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: i <br /> 6 (� Gl ntit i' <br /> Rev.911&2020 <br /> Page 2 of 2 <br /> 1868 E.Hazelton Avenue i Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 i www,sjgov.org/EHD <br />