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S1If1 �AI Environmental Health Department <br /> -ry - <br /> 11 V N <br /> COUNT <br /> r Greatness grows here, <br /> Corrective Action Statement <br /> RE: May 05, 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 /> Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: EMILS LIQUOR&SPORTS SHOP` Submit completed form to: <br /> Facility address: 1405 CALIFORNIA ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180567 ATTN: KRISTINA SAETERN <br /> PR0231485 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#3-2010013-Facility has submitted a complete and accurate UST Monitoring Plan.. <br /> q 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: We have submitted an updated complete <br /> UST Monitoring Plan. We have implemented a system to timely submit same. <br /> We have submitted plan into CERS. <br /> Violation#7-2010003-Owner/Operator submitted DO form and/or informed the CUPA of any change(s) <br /> within 30 days(TCR 10). <br /> W 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: We contacted our service provider, ECo Chek, <br /> and have obtained a current DO form. We have submitted same into CERS. We have <br /> implemented a system in which to timely submit same. <br /> Page 2 of 4 <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 />