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Environmental Health Department <br /> SAN-JOAQUIN <br /> Corrective Action Statement <br /> RE: Augusk 20, ZO O, Ha ird4u9 Materials hispec6orr report <br /> For each vialafian listed below. lndioaW if the vw❑iaiion has been corrected or will be corrected by a ceriain date- <br /> Also, di c& lbs vehat•was cions to correct the Vioiartibn in fhe space provided bek 4w each Wakq ion. Submit INN. <br /> compfafad f6rm vuM VTe Fceturp to C&Tohw�CerriilchOw wNhin 30 days of inspection. if you have any gaesOons, <br /> please contact Nicholas Loeiver at(208)466-0623 or nloehrer( sj9ov-org. <br /> facility name; Verizon Wirefess Nansen So mit con-oeted form to, <br /> Facjtfty address, 27M Haven Rd SJG P-MVIRONMENTAL HIEALTH DEPARTMENT <br /> ERS W: 10481689 ATTN:NICHOLAS LOTzHRER <br /> FIR0536952 1868 E HAZELTON AN <br /> STO KTDN, CA 96206 <br /> Violaf*n ikB-Valiad to electronically submit a site map With all required contanf. <br /> ❑ This tr atian%w sorreet&d 0 This viola ion will he corrected by(data): <br /> �SuMorfing documantl� ineluded <br /> D7 ?scrtb,e scuts tF*en or will be taken to correct violation'. <br /> I <br /> i <br /> f <br /> I <br /> f <br /> i <br /> r <br /> i <br /> Page 2of2 <br /> Rte-s�ne�gxa <br /> 1866 E. Mazukarr Averme t -7&w*kn, CaVo7- o 952081 T 20g 468-31120 J F 209 454-0938 1 v w,sjgov-orgIEHQ <br />