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AW]OAQUI <br /> Environmental Health Department <br /> CC-AJ NTY' <br /> Corrective Action Statement <br /> RE: September01, 2020, Hazardous Materia Is inspection report <br /> Por each vial tion listed below, indicate if the violation has been corrected or will be corrected by a certain duke. Also, <br /> descrlbe what was done to correct the violation in the space provided below each violation. Submit this completed fop <br /> with the Return to Compliance Certification within 30 days of inspaction. If you slave any questions, please contact <br /> Robert Lopez at(209) 953-6214 or rlopez sjgov_org_ <br /> Fadlity name. Verizon Wireless UOP Submit completed form to: <br /> Facility address: 3601 Pacific Ave SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CrzRS ID: 10145593 ATTN. R013ERT LOPEZ <br /> PROB12995 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 9=5 <br /> Violation 98-Failed to electronically submit a site map with all required content. <br /> This violation was corrected 11This violation will be corrected by (date): <br /> Supporting documents Included <br /> Describe actions taken or w1I I be taken to correct violation: <br /> Vlolation 411 -Failed to provide or document Initial arldior refresher training to appropriate personnel. <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date): <br /> k.supporting documents Included <br /> Desodbe actions taken or will be taken to ccerect violation: <br /> Page 2 of 2 <br /> Re%W27t P <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 466-3420 1 F 209 A64-0138 1 www_sjcehd.com <br />