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SAN JOAQUI N Environmental Health Department <br /> C-01JIN ( Y <br /> Corrective Action Statement <br /> RE: August 19, 2020, 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 Nicholas Loehrer at(209)468-0623 or nloehrer@sjgov.org. <br /> Facility name: Verizon Wireless Manteca East Submit completed form to: <br /> Facility address: 178 Button Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10628716 ATTN: NICHOLAS LOEHRER <br /> PR0540362 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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: <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: <br /> Page 2 of 2 <br /> Rev.em12019 <br /> 1RRR F HA7Pltnn Avaniia I Stnr.ktnn C;Afnrnin 9.r;?n.,;I T 9M)468-:449n 1 F ?nq 464-01M I www Sirand rom <br />