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SAW ] lN Environmental Health Department <br /> CCU " - Y <br /> Corrective Action Statement <br /> RE : August 05, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Haza Saeed at (209) 953-6212 or hsaeed@sjgov.org . <br /> DELTA FARM PACKING , 111 N ZUCKERMAN RD, CERS ID: 101877151 PRO636314 <br /> Violation #9 - Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> M This violation was corrected IN This violation will be corrected by (date): 8/10/2021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: See: CERS online data base <br /> Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> IJX This violation was corrected DO This violation will be corrected by (date): 8/10/2021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: See : CERS online data base <br /> Section I Trainings (Consolidated Emergency Response/Contingency Plan) <br /> Violation #16 - Failed to electronically submit ER plan when not meeting Ag handler exemption <br /> requirements. <br /> M This violation was corrected (8) This violation will be corrected by (date): 8/10/2021 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: See: CERS online data base <br /> Emergency Response Phone Numbers now includes our local CUPA phone number. <br /> Page 3 of 4 <br /> Rev. 9116/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />