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Docusign Envelope ID:81334960-4CA8-4C96-B495-34A572CB7BC9 <br /> SAN <br /> J 0 A Q U I Environmental Health Department <br /> �+. �-�)UNTY- <br /> : r.Y wif�`O C�3CS5 f!rryw. h,-r, <br /> Corrective Action Statement <br /> RE: December 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 /> Lynsey Sammons at (209)616-3067 or Isammons@sjgov.org. <br /> Facility name: LATHROP WATER TREATMENT FACILITY/CORP Y Submit completed form to: <br /> Facility address: 2112 E Louise Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10413799 ATTN: LYNSEY SAMMONS <br /> PR0543928 1868 E HAZE LTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#17-3210026-Completed and submitted a Cert of Financial Assurance,Closure Cost Estimate, &Fin <br /> Assurance Mech. <br /> nThis violation was corrected F-17his violation will be corrected by(date): <br /> 71 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Violation corrected on 02/17/2026. Initially, the <br /> City completed and submitted a corrected Closure Cost Estimate with the 2026 HMBP CERS submittal - <br /> due 01/15/2026. However, after receiving the final inspection report, costs associated with independent <br /> PE certification were not included, and the cost estimate was re-written for 2026. See Attachment"PBR#7" <br /> Violation#18-3210028-Inflation adjustment to the Closure Cost Estimate was completed by March 1 of each <br /> year. <br /> nThis violation was corrected ❑This violation will be corrected by(date): <br /> 171 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Violation corrected. Initially, the City completed and <br /> submitted a corrected closure cost estimate with the 2026 HMBP CERS submittal, due 01/15/2026. This <br /> included a inflation adjustment to the estimate. However, after receiving the final inspection report, the <br /> Cost Estimate was completely revised, and inflation adjustment will be applied during the next reporting period. <br /> Page 2 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 />