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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.so-gov.org/ehd <br /> CONTINUATION FORM Page: 15 of 15 <br /> OFFICIAL INSPECTION REPORT Date: 1/24/2025 <br /> Facility Address: 2575 Country Club Blvd, Stockton, CA 95204 Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Com <br /> The corrective action shall include all of the recommendations made in the report. The operator shall <br /> submit a written response that includes a statement documenting corrective actions taken or proposing <br /> corrective actions which will be taken. <br /> CORRECTIVE ACTION: Ensure that a written response documenting corrective actions taken or <br /> proposed is submitted and all corrections implemented within 30 days of receiving an inspection report. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> Lynsey Sammons (209) 616-3067 Emailed to nick.singh723@gmail.com Environmental Contact <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />