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S A N J O A Q O I N Environmental Health Department <br /> = _ RECEIVEL. <br /> Corrective Action Statement SEP 2 2 2022 <br /> RE: April 25, 2022, Hazardous Materials inspection report ?,JTAL HEALTH <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also ICES <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 Frederick Ernest at(209)616-3026 or fernest@sjgov.org. <br /> DAMERON HOSPITAL SURGICAL PAVILION, 445 W ACACIA ST, CERS ID: 10182991, PRO512 <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> 10111"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: rj,6+� <br /> Violation#12-Failed to have the HMBP readily available to facility or EHD personnel. <br /> 0'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: WL'-p <br /> for- <br /> Page <br /> or L� <br /> Page 3 of 3 <br /> Rev.9/16/2020 <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 />