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3 A N J O A Q U I N Environmental Health Department <br />U' P <br />Corrective Action Statement <br />RE: January 131 2025, 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 />KNIFE RIVER, 400 S LINCOLN ST, CERS ID: 10183985, PR0522005 <br />Violation #30 - 4020001 -Training provided for op/maint of equip, discharge procedures, laws/regs, general <br />'ac ops, and SPCC. <br />�. This violation was corrected <br />K Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: <br />,. i <br />Violation #57 - 4010021 -Written Inspection/testing procedures kept, inspection/testing records signed, kept <br />for 3 years. <br />� This violation was corrected ❑This violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken or will betaken to correct violation: <br />C> r A?r�,t MLf ce /Kcu1.0ea. F.>V4'4>A -;t Z) t�2c�ZiccAF_Z�- DrFSGL laLnutL <br />Violation #78 - 4010044 -Substantial Harm Criteria certification maintained at the facility as required. <br />F� This violation was corrected <br />1� Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation: �EE ��i4C./�G17 <br />Page 3 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />owl <br />