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S1If1 �AI Environmental Health Department <br /> -ry - <br /> 11 V N <br /> C U N T <br /> r 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 /> Monica De Anda at(209)616-3063 or mdeanda@sjgov.org. <br /> PACIFIC AVE, 6131 PACIFIC AVE, CERS ID: 10180905, PR0231223 <br /> Violation#59-2030001 -Records of release detection monitoring and maintenance properly maintained <br /> (TCR 9d). <br /> VThis 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: work order for pump replacement is located in <br /> the tablet folder labeled fuel equipment repair. Pump replacement was completed on 11/10/24 <br /> and a copy of the scope of work /work order were filed in the appropriate folder. See attached <br /> documentation. <br /> Page 3 of 3 <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 />