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S A N J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: February 05, 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 /> Lynsey Sammons at (209) 616-3067 or Isammons@sjgov.org. <br /> SHOP N GO 3, 4511 PACIFIC AVE, CERS ID: 10180943, PR0231216 <br /> Violation #70 - 2030037 - Facility has a current written owner/operator agreement. <br /> 9P 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 /> h, W fVPt.+.� Cl Y%�c1�� � Cave <J w P#;! - <br /> Violation #77 - 2030073 - Facility has corrected cited violations within 30 days of receiving report. <br /> / @' This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Descr�ibe�actions taken or will be taken to <br /> correct violation: a Q L n,a vv%e- i o <br /> Page 6 of 6 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />