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SAN JOANN Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: May 17, 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 Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please <br /> contact Carol Presto at(209)616-3061 or cpresto@slgov.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.CAROL PRESTO <br /> PR0520269 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on site. <br /> Ct� 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: IVQ 4nAV <br /> C22POQs Ab -���CC� n1c ©k - Q �WNLQ ��; 0.0 4tkn t <br /> Violation#6-Failed to electronically submit a site map with all required content <br /> i <br /> 12"'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 lc� <br /> --Lo <br /> I <br /> 1 Cal <br /> J f <br /> t <br /> i <br /> Page 2 of 2 <br /> Rev 911eno2o T 209 468-3420 ov org/EHD <br /> 1868 E Hazelton Avenue Stockton, <br /> Califom'a 95205 I I F 209 464-0138 � www stg 9 <br />