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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: August 14, 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 /> Haza Saeed at(209)953-6212 or hsaeed@sjgov.org. <br /> Facility name: SGS Lodi Submit completed form to: <br /> Facility address: 2851 W Harney Ln SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10138537 ATTN: HAZA SAEED <br /> PR0513783 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#4-3010008-Properly completed all Uniform Hazardous Waste Manifests. <br /> M This violation was corrected ❑This violation will be corrected by(date): <br /> q Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Manifest correction letter was sent to DTSC, <br /> with a list of manifests submissions that contained incorrect or incomplete information. <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.sjgov.org/EHD <br />