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Environmental Health Department <br />California Materials, INC, 3736 S HWY 99, CERS ID: 10456468, PR0523227 <br />□ This violation will be corrected by (date): <br />Violation #79 - 4010 ■ Administration/Documentation - General. <br />□ This violation will be corrected by (date): <br />Page 5 of 5 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />Violation #57 -4010021 - Written Inspection/testing procedures kept, inspection/testing records signed, kept <br />for 3 years. <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 />Lynsey Sammons at (209) 616-3067 or lsammons@sjgov.org. <br />SAN JOAQUIN <br />COUNTY <br />Greatness grows hvte. <br />Corrective Action Statement <br />RE: June 12, 2024, inspection report <br />□ This violation was corrected <br />ftl Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br /> (pin R. uvvrtfH 'tn •rRRrt rcffioc \ cm\n -we. srrr, <br />Yj\nW>r. J <br />v] This violation was corrected <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: , m to iviptfn qh mnmrid rwrops R rawww, Re wtvw -Rr ffinv ra- o?