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Delta Packing <br /> Employee Participation Certificate Delta Packing <br /> Report Date: 12/01/2023 <br /> Certificate#: 00046 <br /> Event Due Date: 11/01/2023 <br /> Frequency: Once <br /> Event Description: 20231101 CUPA Inspection <br /> Event Complete Date: 11/01/2023 <br /> Employee Participation Topic(s) <br /> ®CUPA Inspection <br /> Participants <br /> Greg Kubota <br /> Haza Saeed <br /> Jimmy Stout <br /> Uriah Donaldson <br /> Vicky Vang-Lee <br /> Event Content <br /> See attached documents for original reports <br /> Certification of Event <br /> Event Leader: Haza Saeed <br /> Company Name: San Joaquin County CUPA <br /> Date of Certification: 11/01/2023 <br /> Certifying Supervisor: Haza Saeed <br /> Supervisor Signature: <br /> Recommendations <br /> Recommendation#1 <br /> CalARP 612: <br /> OBSERVATION:The owner/operator failed to manage the Process Hazard Analysis findings and recommendations.There are <br /> 7 recommendations that were due by 03/16/2023 and 1 recommendation was due on 5/31/2022. 15 recommendations have <br /> been corrected and the facility is continuing to work towards addressing each recommendation. <br /> CORRECTIVE ACTION(S):Submit documentation to our department demonstrating that all of the requirements for managing <br /> the Process Hazard Analysis findings and recommendations have been or will be completed. Submit documentation outlining <br /> a timetable for entering into an agreement with our department for resolution of the process hazard analysis findings and <br /> recommendations. <br /> Priority Responsible Person Due Date Completed Date <br /> 2 Jimmy Stout 12/01/2023 <br /> Related Events <br /> Name Date Event <br /> Jimmy Stout 12/01/2023 PHA status updates have been submitted to the CUPA. Quarterly updates will be provided until all <br /> items are resolved <br /> Resolution <br /> Linked Records <br /> Recommendation#2 <br /> CalARP 624: <br />