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SAN JOAQUIN Environmental Health Department <br />Corrective Action Statement <br />RE: July 22, 2024, 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 a Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Maria Lopez at (209) 616-3064 or melopez@sjgov.org. <br />SUBWAY #25225, 616 W HAMMER LN STE D, CERS ID: 10184835, PR0527534 <br />violation #5 - 1010006 - Updated within 30 days of 100% increase or new haz; change of <br />addoesslowneriname; or change in ops. <br />r❑ 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 />Violation #9 -1010003 - Business Owner/Operator ID and Business Activities pages electronically submitted <br />and are accurate. <br />This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included t� SQA a Cg_ <br />Describe actions taken or will be taken to correct violation. <br />L SPr� <br />Violation #12 - 1010010 - Electronically submitted adequate response planlprocedures for releaselthreatened <br />release of hazmat. <br />This violation was corrected ❑ This violation will be corrected by (date): <br />'X Supporting documents included <br />Describe actions taken or will be taken to correct violation. r t ) <br />Page 3 of 4 <br />California 952051 T 209 468-3420 1 F 209464-0138 1 www.sjgov.orglEHD <br />