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n Environmental Health Department <br /> S a N,{10�AyC�t� N <br /> -:r K C C3 U t� 1 7 —__.— <br /> �c,FoaN Greatness grows here. <br /> Corrective Action Statement <br /> RE: August 12, 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 /> Lynsey Sammons at(209)616-3067 or Isammons@sjgov.org. <br /> Facility name: Gas Co Manteca Submit completed form to: <br /> Facility address: 1700 E YOSEMITE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181431 ATTN: LYNSEY SAMMONS <br /> PR0231454 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#57-2030012-Initial and annual training provided to employees and at least one trained X <br /> employee is present. <br /> M 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 /> This is to confirm that all employees will be trained by the designated operator. <br /> A record of this training will be maintained and kept on-site at all times going forward. <br /> Violation#77-2030073-Facility has corrected cited violations within 30 days of receiving report. <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 /> This is to confirm that the Return to Compliance (RTC) documentation will be completed and submitted <br /> within thirty (30) days of receiving the inspection report. <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 />