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A N "� QA� U I N Environmental Health Department <br /> G.' t >t.� l,a 1' F AMENDED-2 <br /> Corrective Action Statement 1/2712026 <br /> RE: January 24, 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 Certificatlon within 30 days of Inspection. If you have any questions, please contact <br /> Carol Presto at(209)616-3061 or opresto@sjgov.org. <br /> KWIK SERV LODI BW 11 Y, 420 W KETTLEMAN LN, CERS ID: 10181407, PR0231906 <br /> Violation #77 -2030073 - Facility has corrected cited violations within 30 days of receiving report. <br /> 5 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: Oc k try, C)f-,% Gg'!4-t� Y\La <br /> Page 4 of 4 <br /> N.Y.9/16/2020 <br /> 1868 E. Hazelton Avenue Stockton, California 96206 1 T 209 468-3420 1 F 209 4B4-0138 I www.sjgov.org/EHD <br />