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SAN J O A Q U I N Environmental Health Department <br />-4 s <br />C� Ca U i V G Y <br />Corrective Action Statement <br />RE: July 253 2024, 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 />Lynsey Sammons at (209) 616-3067 or Isammons@sjgov.org. <br />SUBWAY # 65214, 2828 COUNTRY CLUB BLVD, CERS ID: 10657183, PR0540787 <br />Violation #12 - 1010010 -Electronically submitted adequate response plan/procedures for release/threatened <br />release of hazmat. <br />GY This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Violation #13 - 1020001 -Established and electronically submitted adequate training program. <br />I.U/ 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 />6;L <br />Violation #14 - 1020002 -Provided initial and annual training and maintained training records for a minimum <br />of three years. <br />b � <br />❑ Supporting documents included �1 <br />iJ This violation was corrected <br />11 This violation will be corrected by (date) 4 <br />Rev. 9/16/2020 <br />Describe actions taken or will be taken to correct violation: <br />Page 5 of 5 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 i www.sjgov.org/EHD <br />