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f SKJOAQUIN <br />- <br />---COUNTY <br />RE: July 25, 2024, inspection report <br />Environmental Health Department <br />Corrective Action Statement <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 />Lynsey Sammons at (209) 616-3067 or Isammons@sjgov.org. <br />Facility name: SUBWAY # 65214 <br />Facility address: 2828 COUNTRY CLUB BLVD <br />'ERS ID: 10657183 <br />PRO540787 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: LYNSEY SAMMONS <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #1 -1010001 -Established/implemented a business plan when handling hazardous materials in <br />reportable quantities. <br />This violation was corrected ❑ This violation will be corrected by (date): S ) 0 <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Violation #2 - 1010002 -Business plan electronically submitted initially, annually, or triennially. <br />Rev. 9/16/2020 <br />© This violation was corrected <br />❑This violation will be corrected by (date) <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 5 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 i www.sjgov.org/EHD <br />