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Environmental Health Department <br />Corrective Action Statement <br />RE: , inspection report <br />none <br />□ This violation will be corrected by (date): <br />(✓V »ll <br />RECEIVED <br />JUL 2 3 2025 <br />Page 2 of 2 <br />Rev 9/16/2020 <br />1868 E Hazelton Avenue | Stockton California 95205 T 209 468-3420 F 209 464-0138 | wvwv sjgov org/EHD <br />For each violation listed below, indicate if the violation has been corrected oi 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 at <br />or. <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN:?W<£>^ /zVtAz>(e<A/ , <br />1868 E HAZELTON AVENUE <br />STOCKTON. CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />SAN JOAQUIN <br />COUNTY <br />(j <br />/O^ <br />ALL <br />T4- <br />PMe._____________ <br />This violation was corrected <br />□ Supporting documents included <br />Describe actions taken or will be taken to correct violation: