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SAN J OAQ U ( N Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: October 26, 2020, 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 Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br /> Facility name: Winsome Enterprises Submit completed form to: <br /> Facility address: 3032 S EL DORADO ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181297 ATTN: ROBERT LOPEZ <br /> PRO519722 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #2 -Failed to initially complete and electronically submit a HMBP. <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: The facility has registered with the California <br /> Environmental Reporting System. They have prepared the business plan and have submitted it to EHD for <br /> approval, see Attachment A. <br /> Violation #4- Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> This violation was corrected O This violation will be corrected by (date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: The facility has registered with CERS. They have <br /> prepared the Business Owner/Operator Identification forms and have submitted it to EHD for approval, see <br /> Attachment B. <br /> Violation#5 -Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <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 : The facility has registered with CERS. They have <br /> prepared the Business Owner/Operator Identification forms and have submitted it to EHD for approval, see <br /> Attachment C. <br /> Page 2 of 4 <br /> Rev.9/16/2020 <br /> 1868 E Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />