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S1If1 �AI Environmental Health Department <br /> -M1 - <br /> 11 V N <br /> C U N T <br /> r Greatness grows Bete, <br /> Corrective Action Statement <br /> RE: November 20, 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 /> Aaron Madera at(209)616-3065 or amadera@sjgov.org. <br /> Facility name: VALLEY PACIFIC HWY 99 CARDLOCK Submit completed form to: <br /> Facility address: 3550 S HWY 99 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182167 ATTN:AARON MADERA <br /> PR0505827 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#56-2030013-DO inspections completed at least every 30 days and meet all requirements(TCR <br /> 12). <br /> ❑ This violation was corrected ?This violation will be corrected by(date): 1 2/3/2025 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Test dates in the documentation reflected testing <br /> done when repairs were completed in the last test cycle. Moving forward we will use the <br /> original test date in our DO documentation. <br /> Page 2 of 2 <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 />