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Environmental Health Department <br />Corrective Action Statement <br />RE: August 28, 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 />MOUNTAIN HOUSE CSD WATER TREATMENT, 18045 S KELSO RD, CERS ID: 10184631, PR <br />Violation #11 - 1010005 - Site Map with all required content electronically submitted. <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 3 of 3 <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 />Poly aluminum phosphate, caustic soda, and <br />aluminum sulfate were removed from the site map. Emergency shut off at the ammonia pumps was <br />added to the site map. The updated site map was submitted in CERS.