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SA N 10 AQ U i N Environmental Health Department <br /> C:QUNEY _. . <br /> :; i citnc S� q:ows here, <br /> Corrective Action Statement <br /> RE: March 18, 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 /> Carol Presto at(209)616-3061 or cpresto@sigov.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 /> 1868 E HATELTON AVENUE <br /> PR0232418 STOCKTON, CA 95205 <br /> Violation#10-2030074-Annual Monitoring System Certification Form to the CUPA within 30 days of <br /> completion of the test_ <br /> [5' 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 Wilt M stik�( S✓ — <br /> t} nA IL <br /> �� ,.�� g .� t•cs� S ut tl1 <br /> Violation #13 -2010017-Spill bucket testing results submitted to the UPA within 30 days of testing. <br /> d This violation was corrected ❑This violation will be corrected by(date): <br /> fl 9uppurting documents includod <br /> Descnbe actions taken or will be taken to correct violation: <br /> W c�� �l' Sv�jM }'A` M,�`� i2 <br /> Page 2 of 3 <br />