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' S A ,J 00 U I N Environmental Health Department <br />Greotness grows here, <br />Corrective Action Statement <br />RE: November 04, 2024, 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 />Michael Suszycki at (209) 598-7001 or msuszycki@sjgov.org. <br />Facility name: PURVIANCE DRILLERS INC <br />Submit completed form to: <br />Facility address: 17707 E HWY 26 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182341 ATTN: MICHAEL SUSZYCKI <br />PRO521256 1868 E HAZELTON AVENUE <br />STOCKTON, CA 952x5 <br />Violation #10 -1010004 - Complete and accurate Hazardous Materials Inventory information electronically <br />submitted. <br />V1 This violation was corrected D This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: ��� —�� <br />Violation #11 -1010005 - Site Map with all required content electronically submitted. <br />Rev. 9h6/2G20 <br />iia This violation was corrected D This violation will be corrected by (date): <br />0 Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />f�—I—Zel - - - <br />Page 2 of 3 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orglEHD <br />