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� f1 � Environmental Health Department <br /> N{ V N <br /> -r <br /> -COUNTY <br /> Greatness grows here. <br /> Corrective Action Statement <br /> RE: May 30, 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 /> Lynsey Sammons at(209)616-3067 or Isammons@sjgov.org. <br /> Facility name: UPS-Stockton Submit completed form to: <br /> Facility address: 1532 N Broadway Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10156057 ATTN: LYNSEY SAMMONS <br /> PR0231522 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#56-2030013-DO inspections completed at least every 30 days and meet all requirements(TCR <br /> 12). <br /> I29 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: Going forward all documents will be throughouly inspected for <br /> all parts required for the monthly DO's. <br /> Violation#59-2030001 -Records of release detection monitoring and maintenance properly maintained <br /> (TCR 9d). <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: I do not believe that 12/5/22 is the accurate date. We have <br /> a repair document that was for 2/9/23 for a repair. I have attached the document to the email. <br /> Page 2 of 3 <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 />