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S A N J O A Q N Environmental Health Department <br /> Corrective Action Statement <br /> RE: December 16, 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: LATHROP GAS&FOOD INC Submit completed form to: <br /> Facility address: 140 E LATHROP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182153 ATTN:AARON MADERA <br /> PR0505687 1866 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#0-2010007-Submittedlmaintained current Cert of Financial Responsibilitylmech of financial <br /> assurance(TCR 11). <br /> AThis 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: vp 0297E /�2e Z Z.Z 2(Ar) <br /> Violation#0-2010009-Secondary containment test results submitted to the CUPA within 30 days after the <br /> test.. <br /> This violation was corrected This violation will be corrected by(date): A/ (> <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> WE 1-70Z-VL-E <br /> Rev.911512020 Page 2 of 2 <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 />