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SAN J OAQ U I N Environmental Health Department <br /> COUNTY <br /> r:.. .7rGo1s r': <br /> Corrective Action Statement <br /> RE: Marcie 19, 2024, Underground Storage Tank 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 wfth 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 epresto a@sjgov-org. <br /> Facility name: WATERLOO LIQUOR Submit completed form to: <br /> Facility address: 2512 E WATERLOO RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181585 ATTN: CAROL PRESTO <br /> PR0232418 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation 9101 -Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit <br /> fees. <br /> EK 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: A4,1, <br /> Violation#122-Failure to implement corrections and submit written response within 30 days of receiving the <br /> report. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will the taken to correct violation: LJ 7 � Lo,, r r.— <br /> v-, titd I -r . <br /> Page 2 of 3 <br /> Rev-911612020 <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 />