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Environmental Health Department <br /> ANJOAQUR n <br /> I <br /> COUNTY <br /> Corrective Action Statement <br /> RE: August 24,2023, 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. <br /> Also,describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> Airgas USA, LLC, 3970 WILCOX RD, CERS ID: 10166531, PRO519972 <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> 1A 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: Iq�� r��01 "�Yfi��Yti►n O 4lSSvGr�IS <br /> C)0, aV\Nr\VW,l bCASe1S 4�l tAoc vyv\.e AA—& A ss oe 1CAAe,0( u-7 I-teak 124 U-2-' <br /> ��krl'�<�iif~'``C� �3 Y �.1�' i�t't O(Q '�'� �1nS� ��-(i P U�/iLC'.tn-C.fG C9-C' �V''Gt t►'�� t'�c� <br /> Violation#12-Failed to have the HMBP readily available to facility or EHD 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: RM93a V aAa,kr r'l�nc i7M i�,'►k e[� <br /> � y� S� 1�lnCh i't Ct��%t' �-f-' CAV\VC_ A a rnCA:5:-C <br /> b i2S (h,(-,dtt/lC�K!l14. <br /> Page 3 of 3 <br /> Rey.9/16/2020 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />