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SA N J OAQ I N Environmental Health Department <br /> COUNTY <br /> �� :•r Grcotnerss grows he <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@sigov.org. <br /> Facility name: CARLS JR Submit completed form to: <br /> Facility address: 2380 W GRANT LINE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181057 ATTN:MONICA DEANDA <br /> PR0521202 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 0 This violation will be corrected by(date): �'i i Z s— <br /> �. Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 2 <br /> Ray 9116QO20 <br /> 1868 E Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sigov orgjEHD <br />