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Environmental Health Department <br /> SANJOAQUIN <br /> C 00 iq TY <br /> orrect(ve Action Statement <br /> RE, August 24, 2020, Hazardous Mat ia)s Ospecliorn report <br /> For each violatlon Ilsted below, i ndic0e if the Yfol's ron has bserT OarrecW or VAI be oarmfAed by a 0DIaln data, <br /> Akar d$scribe what was done to correct tha violation in the space provided below each violalinil. Submit this <br /> oompleted form with the Return to compliance Cartikacion wi thin 30 days or in�pauUon. rfyou have any guffeWas, <br /> pdeass mac!lfthcbs Loahxar of(21)9)4P0 B-0523 or ntaehrer Agnv_org. <br /> Facility name. VERVONVMrzLFSS TRACY NORTH suhP)lrmw*fed farm t.Q.. <br /> f!w*address_ '12070WL4MMERS RI) SJCWARONMENTALHEALTH DEPARTMI=NT <br /> GERS ID. 10145529 ATTN: NICHOLAS LDEHRER <br /> PR05'I2896 J868 E HAZELTON AVENUE <br /> STOC TON, CA 95205 <br /> Violation 4�-ralled to eiectronically submif a sike map with ell required content <br /> ❑ This vialaboo way rnire0had 0 This viola#ion will bn aorrectad by(dente): _ <br /> Supporting dvcurnerkN Included <br /> describe actions Laken or will be taker) to correct vialQon' <br /> r <br /> I <br /> i' <br /> Page 2 0f 2 <br /> LAY.$1��r709� <br /> 1586 r. Hazelton Avenue 1 9lvcklorn, OallFoW0 95295 I T 209 468-3120 1 F 209 4£4-0138 I Www_sigov.orglr-Ha <br />