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S A N 1 O A Q U IN Environmental Health Department <br /> LUUNiY <br /> (-rrotness grows her- <br /> Corrective Action Statement <br /> RE: November 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: TRACY MARKET INC Submit completed form to: <br /> Facility address: 15 E GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181019 ATTN:ALLEN ASIO <br /> PR0231404 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#10-2030074-Annual Monitoring System Certification Form to the CUPA within 30 days of <br /> completion of the test. <br /> 0 This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included _ , �/n r <br /> Describe actions taken or will be taken to correct violation: I ��V Cm WO I�r/1 I wi �h L �I <br /> A)f tM VIUI h UPI U (1 tG Md Jz( -VVU ill - -he, K*W, 211 <br /> Violation#12-2010009-Secondary containment test results submitted to the CUPA within 30 days <br /> after the test. <br /> IW 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 /> ��Ve JV U�� U/0�� f-�U�y►�E <br /> tGi I'I'1�1 � ly►'� MUM a Sulf- 111 14110"1/ o -'3o delus., <br /> Page 2 of 4 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />