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SAN JOAOU IN Environmental Health Department <br /> c0 . i <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: 10187715, PRO636314 <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): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <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: Employees from Delta Farms Packing Received <br /> a life mock emergency evacuation training on August 30th, 2021 during our monthly Food Safety refresher <br /> training . Employees were also instructed in the detection of odors in case of leaks and the evacuation routes. <br /> Violation #16 - Failed to electronically submit ER plan when not meeting Ag handler exemption <br /> requirements. <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: <br /> Page 3 of 4 <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 />