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Environmental Health Department <br />Corrective Action Statement <br />RE: October 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 />Kristina Saetern at (209) 616-3045 or ksaetern@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: KRISTINA SAETERN <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to:G & F Ag Service <br />21399 CARROLTON RD <br />10185583 <br />PR0529268 <br />Violation #1 - 4010001 - SPCC has been prepared. <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: <br />Violation #30 - 4020001 - Training provided for op/maint of equip, discharge procedures, laws/regs, general <br />fac ops, and SPCC. <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: <br />Page 2 of 5 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />12/23/2025 <br />The draft SPCC is in review with with the <br />professional engineer and is expected to be returned this week. <br />x <br />x <br />Training forms prepared and conducted. We still <br />have not received the SPCC so will need to conduct a final training with that document. <br />12/23/2025 <br />SPCC Plan attached. <br />x <br />Training records attached. <br />x