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RE: December 08, 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 />Aaron Madera at (209) 616-3065 or amadera@sjgov.org. <br />Facility name: ROBERT HOLMES Submit completed form to: <br />Facility address: 16048 S SEXTON RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181175 ATTN: AARON MADERA <br />PR0525894 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #10 - 1010004 -Complete and accurate Hazardous Materials Inventory information electronically <br />submitted. <br />'1�., This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />04 hGZ'rrhjA� !MRFel <br />j <br />Violation #11 -1010005 -Site Map with all required content electronically submitted. <br />M <br />Rev. 3/16/2020 <br />, This violation was corrected <br />❑ Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />1868 E. Hazelton Avenue ( Stockton, California 95205 ('T 209 468-3420 ( F 209 464-0138 � www.sjgay.orgiEHD <br />