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SAN,10AQUIN Environmental Health Department <br /> —'—"COUNTY— <br /> .. <br /> Corrective Action Statement <br /> RE: January 13, 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 /> Matthew Won at(209)616-3029 or mwon@sjgov.org. <br /> Facility name: 76 EXPRESS TIGER NO i Submit completed form to: <br /> Facility address: 5777 S FRENCH CAMP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182157 ATTN: MATTHEW WON <br /> PRO505746 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#53-2010007-Submitted/maintained current Cert of Financial Responsibility/meth of financial <br /> assurance(TCR 11). <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: <br /> Violation#58-2010015-Copies of Facility Employee Training Certificates maintained. <br /> IlIF-This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included /n� <br /> Describe actions taken or will be taken to correct violation: lJ DWInI tit (r(f1,�04e f d zo <br /> r <br /> R Page 2 of 3 <br /> ev.9/16I009J <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />