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Environmental Health Department <br />grows here. <br />Corrective Action Statement <br />RE: May 01,2025, inspection report <br />♦ <br />□ This violation will be corrected by (date): <br />5 LfrxQ . <br />~TW U |LL- <br />Violation #13 - 2010017 - Spill bucket testing results submitted to the UPA within 30 days of testing. <br />□ This violation will be corrected by (date): <br />■i <br />ar.Describe actions taken or will be taken to correct violation: <br />Rev. 9/16/2020 <br />■I <br />Page 2 of 4 <br />1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />:: <br />I <br />This violation was corrected <br />□ Supporting documents included <br />This violation was corrected <br />□ Supporting documents included <br />JAMAR SERVICE <br />4075 E MAIN ST <br />10180873 <br />PR0231667 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: STACY RIVERA <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />■I <br />'I <br />SANJOAOUIN <br />COUNTY <br />Greotnes <br />Violation #10 - 2030074 - Annual Monitoring System Certification Form to the CUPA within 30 days of <br />completion of the test. <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 />Stacy Rivera at (209) 616-3043 or srivera@sjgov.org. <br />Describe actions taken or will be taken to correct violation: vVqxxt \v\ <br />wuxifr -to opg--tp