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Environmental Health Department <br /> SAUGAOUIN <br /> . � ,. <br /> COUNTY--- <br /> rL�attr�4i �r�,iry ):ern <br /> errectiveAction Statement <br /> RE. September 10, 2025, inispectior report <br /> For each violation fasted bela W.indicate if the vioiatian has been corrected or will be corrected by a csrtain dile. Also, <br /> describe wh$1 was done to correct the violation in the space provided t)abw+each violation. Submit this oorrlpleted farm <br /> with the Return to Cininplianoe Certification v ilhin 30 days of Inspection. If ym have any questions.Mease contact <br /> Lynsey Sammons at(209)610,3C67 ca-lsarrlmans@sagov.org. <br /> GRAPPA MARKET SHELL, 704 N JACK TONE RCS, CERS ID; 10911469, PRO547997 <br /> Violation 94S - 2030047 -Se.cortdairy containmrl maintainad tight and has Mean confirmed by testing. <br /> This violation was corrected ElThis vl*Jatlon will be corrected by(date): 09/23/2025 <br /> ❑ Supporting degurnents included <br /> describe actions taken or will be taken to corraact vkg ation_ _1,1 P[ S r <br /> '4 fill t X e C%Y S C G .# l S, 1 0- _ <br /> Violation #53 -2010007 -suhmitt+ dlfflalnlained CUrre nt Gert of Financia) of financial <br /> assur2nre (TOR 11)_ <br /> [7 This vic cation was corrected ❑This viulallois will trig corrected by (date): <br /> M Supporting documents included <br /> Cescribe actions taken or will be taken to c rraM violation: <br /> Closed on 3/11/2026 as non resolvable. <br /> violation ir56-2030013-CSO lnsperftns completed at least every 30 days and meet all requirements QTCR <br /> 12). <br /> C This vialaiion was corrected ❑This violation wili be corrected by (date): 09/23/2025 <br /> 0 Supporting documents included <br /> Describe actions taken or will be laakerl is Dwrac:violation: <br /> Closed on 3/11/2026 as non resolvable. Theirr response does not address the observation <br /> Page,4 oi 5 <br /> Rei•?eGrt`C20 <br />