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RECEIVLU FEB 0 6 1010 <br /> SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> Greotness grows here , <br /> Corrective Action Statement <br /> RE : , 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 at <br /> or . <br /> Facility name : Submit completed form to: <br /> Facility address : SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: none ATTN : <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> ❑ 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 : Per Inspection Report this was Corrected <br /> on site . <br />�I <br /> Page 2 of 2 <br /> Rev 8272019 <br /> 1868 E Hazelton Avenue i Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www sjcehd com <br />