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05/12/2021 12:16 A FAX l;!Ij0002/0008 <br /> SAN J O A Q U I N Environmental e lth Department <br /> Corrective Action Statement <br /> RE: May 07, 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 /> Nicholas Loehrer at(209)468-0623 or n€oehrer@sjgov.org. <br /> Manteca Dialysis, 1620 W Yosemite Ave, CERS ID: 10733509, PRO543667 <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened <br /> release. <br /> 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: E tVK� FOf- G RUMP t~ <br /> qkOkLLI <br /> 2. WISD s p LQ1 hsu <br /> r s 1. Annual i0w5voy) G tl <br /> n iftuv v p,3 poO dP <br /> iQ p1Un oG coy rtCfion. <br /> Violation#8-Failed to establish and electronically submit a reasonable or an adequate training program. <br /> This violation was corrected ❑This violation will be corrected by(date); 5j a 17.1� <br /> ❑ Supporting documents included <br /> Describe actions t1ken or will be taken to correct violation: m1�lUV�Pi IYUIII' 14 �(�n <br /> (�w <br /> rL �..... <br /> or- I �G �S <br /> r rUcnmc <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> This violation was corrected ❑This violation will be corrected by(date): s1lZ)� <br /> ❑ Supporting documents included n <br /> Describe actions taken or will be taken to correct violation: UKA) Sub mli i(-O �o ca) <br /> QQALlUnYVt4, Q C,Q01h(CA t2 oyl <br /> ern M ll N C(Q )C V1 15I <br /> fi rU CAn 017 00T11 C n . <br /> Page 3 of 4 <br /> Rev.90612020 <br /> 1868 E. Hazelton Avenue i Stockton, California 952061 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />