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M � I � Environmental Health Department <br /> u <br /> '- -COUNTY— <br /> Greatness <br /> COUNT <br /> Greatness grows here, <br /> Corrective Action Statement <br /> RE: March 01, 2022, 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 /> Frederick Ernest at(209)616-3026 or fernest@sjgov.org. <br /> Facility name: KNIFE RIVER Submit completed form to: <br /> Facility address: 400 S LINCOLN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183985 ATTN: FREDERICK ERNEST <br /> PR0520579 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> IS This violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: CERS has been updated. Copies of the added <br /> Hazardous Material are attached. <br /> See attachment: Violation 5 <br /> Violation#6-Failed to electronically submit a site map with all required content. <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: CERS has been updated. Copy of Site Map is <br /> attached. <br /> See attachment: Violation 6 <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> 0 This violation was corrected ❑This violation will be corrected by(date): <br /> 40 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Annual Training was held on 3-23-2022. <br /> Attendance and lesson plan attached. <br /> See Attachment: Violation 11 <br /> Page 2 of 2 <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 />