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� 1If1 �AI Environmental Health Department <br /> 11 V N <br /> u _ <br /> r Greatness grows here, <br /> Corrective Action Statement <br /> RE: January 03, 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 /> Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: SHERIFFS OPERATIONS CTR#1 Submit completed form to: <br /> Facility address: 7000 N MICHAEL CANLIS RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181419 ATTN: KRISTINA SAETERN <br /> PR0232437 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#10-2030074-Annual Monitoring System Certification Form to the CUPA within 30 days of <br /> completion of the test. <br /> P 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: Bagley will follow up with third party tester to ensure test results <br /> are submitted within 30 dys of testing <br /> Violation#13-2010017-Spill bucket testing results submitted to the UPA within 30 days of testing. <br /> ® 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: Bagley will follow up with third party tester to ensure test results <br /> are submitted within 30 dys of testing <br /> Page 2 of 4 <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 />