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SAN JOAQUIN <br /> Environmental Health Department <br /> - -COUNIY <br /> rrYa[rlPif �rOwf rrrr <br /> Corrective Action Statement <br /> RE: February 14, 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 /> Monica Deanda at(209)616-3063 or mdeanda@sjgov.org. <br /> Facility name: MCDONALDS#12264 Submit completed form to: <br /> Facility address: 1820 W ELEVENTH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181035 ATTN: MONICA DEANDA <br /> PR0520734 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#4-1010008-Business plan reviewed and electronically certified as completelaccurate on or <br /> before the due date. <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: b �i��a ss �.�.cti rl ,C °1.D"7—C. <br /> Q. i <br /> Violation#10-1010004-Complete and accurate Hazardous Materials Inventory information electronically <br /> submitted. <br /> A This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken--o`r will be taken to correct violation: <br /> Page 2 of 2 <br /> Rev.9/16/2020 <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 />