Laserfiche WebLink
Corrective Action Statement <br />RE: , 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 at <br />or . <br />Facility name: Submit completed form to: <br />Facility address: SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: none ATTN: <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 85205 <br />Y!T" This violation was corrected ❑ This violation will be corrected by (date): f t Z,c' <br />13 Supporting documents included <br />Describe actions taken or will be taken to correct violation: -go S v-, <br />b <br />Page 2 of 2 <br />Rev_ 8127/2019 <br />1868 E. Hazelton Avenue j Stockton, Caiifcrnia 95205 1 T 208 468-3420 1 F 208 464-0138 1 "'-mmr.sjcehd.com <br />