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SI I Environmental Health Department <br /> COU TY— <br /> {' r Gareotness grows here, <br /> Corrective Action Statement <br /> RE: May 22, 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 /> Nicholas Loehrer at(209)468-0623 or nloehrer@sjgov.org. <br /> JACK TONE GOLF, 1500 S RUESS RD, CERS ID: 10183613, PR0520394 <br /> Violation#9 -1010003-Business Owner/Operator ID and Business Activities pages electronically submitted <br /> and are accurate. <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.9/1 612 0 2 0 <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 />