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S A N 10 A Q U I N Environmental Health Department <br /> ..C U U N 1 1.,._.— <br /> GrootneC5 g.rov,, here <br /> Corrective Action Statement <br /> RE: May 02,2025, 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 /> Carol Presto at(209)616-3061 or cpresto@sjgov.org. <br /> Facility name: Delta Crane Submit completed form to: <br /> Facility address: SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERSID: 10977556 ATTN:CAROL PRESTO <br /> PR2500442 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#1-3010002-Obtained an Identification Number(unless exempted HSC 25143.13). <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: application Submitted <br /> Page 2 of 2 <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.sjgcv.org/EHD <br />