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� 1If1 �AI Environmental Health Department <br /> 11 V N <br /> u _ <br /> r Greatness grows Bete, <br /> Corrective Action Statement <br /> RE: June 04, 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 De Anda at(209)616-3063 or mdeanda@sjgov.org. <br /> Facility name: QUIK STOP MARKET#551152 Submit completed form to: <br /> Facility address: 1721 S CHEROKEE LN#1 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180631 ATTN: MONICA DE ANDA <br /> PR0232355 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#56-2030013-DO inspections completed at least every 30 days and meet all requirements(TCR <br /> 12). <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 /> Future designated operator (DO) reports will include all of the required information and documents, <br /> to the extent possible. <br /> Violation#57-2030012-Initial and annual training provided to employees and at least one trained <br /> employee is present. <br /> M 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 /> Designated operator training was provided and site will schedule initial and annual training in the <br /> future. Training log attached. <br /> Page 2 of 3 <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 />