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A J A u i N Environmental Health Department <br /> - COUNTY <br /> Greutncess �rcws hire, <br /> Corrective Action Statement <br /> RE: September 11, 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 34 days of inspection. if you have any questions, please contact <br /> Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: ORLANDOS ESCALON Submit completed form to: <br /> Facility address: 2226 JACKSON AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10933741 ATTN-. KRISTiNA SAETERN <br /> PRO548528 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#56-2030013-DO inspections completed at least every 34 days and meet all requirements(TCR <br /> 12). <br /> L This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will betakento correctI tion: <br /> CA [ALT <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: / A- <br /> Rev,911612020 Page 2 of 2 <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 />