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SAN J O AQ U I N 1-7-nvur;~onrr ienta9 Heap-Ih Depmtvnent <br /> Corrective Action Statement <br /> RE: May 27, 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 /> Aaron Madera at(209)616-3065 or amadera@sjgov.org. <br /> Facility name: McDONALDS#23653 Submit completed form to: <br /> Facility address: 1236 W YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184179 ATTN:AARON MADERA <br /> PRO520917 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#4-1010008-Business plan reviewed and electronically certified as complete/accurate on or <br /> before the due date. <br /> ,&I 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 /> ` -Q>- <br /> N v—N 1? .-.Z->11� vvct e>4"*- 4:7 n^ . <br /> Violation#10-1010004-Complete and accurate Hazardous Materials Inventory information electronically <br /> submitted. <br /> P This violation was corrected I 'his violation will be corrected by(date): <br /> ❑ Supporting documents included I <br /> Describe actions taken or will be taken to correct violation: C&CIIIA <br /> ,n)C2S WC C4-7 ��? oey Car-S <br /> Page 2 of 2 <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 />