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S A N J0AQ U I N Environmental Health Department <br /> COUNTY <br /> eiv�oa� Greatness grows here. <br /> Corrective Action Statement <br /> RE: September 14, 2021, Hazardous Materials inspection report <br /> For each violation listed below,indicate if the violation has been corrected or will be corrected by a certain date. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact John Alaniz at(209)516-3053 or jalanizl@sjgov.org. <br /> Facility name: CBUSO dba Woodbridge Winery Submit completed form to: <br /> Facility address: 5950 E Woodbridge Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181625 ATTN:JOHN ALANIZ <br /> PR0519507 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials Inventory for all reportable materials on <br /> site. <br /> X 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: Inventory was added to CERS-HMBP under the <br /> Chemical Inventory List. <br /> Violation#6-Failed to electronically submit a site map with all required content. <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: Map was edited to include "No Internal Roads". <br /> Page 2 of 2 <br /> Rev 9!18!2024 <br /> 1868 E.Hazelton Avenue I Stockton,California 952051 T 209 468-34201 F 209 464-0138 1 www.sigov.org/EHD <br />