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Environmental Health Department <br /> SA NJ GAQU-1 N <br /> COU NTY, <br /> Corrective Action Statement <br /> RE: Soptefter01, 2020, Hazardous Materials inspection report ' <br /> For each violation fisted below, indicate If the violation has been Corrected or will be corrected by a certain date. Also, <br /> describe what waa done to correct the violation in the space providad below each violation, Submit this completed for <br /> with the Return to Compliance Certification within 30 days cf inspection. If you have any questions, please contact <br /> Robert Lopez at(209) 953-6214 or 0opez@,sjgov.or'g. <br /> Facility name: VERIZON WIFELESS DAME RON HOSPITAL Submit completed form to: <br /> Facility address: 530 WACACIA ST S J C ENVI RON M E WFAL HEALTH DEPARTMENT <br /> CERS Ifs_ 10142913 ATTR: ROBERT LOPEZ <br /> PR0M05 1858EHAZEL TCNA11E <br /> STOCKTON, CA 95205 <br /> Violation #6-Failed to electronically submit a site map with all required content. <br /> ❑ Th Is violation was corrected ❑ This violation will be corrected by (date): <br /> Supporting documents Included <br /> Des dbe actions taken or will be taken to correct violation: <br /> Violation#11 -Fa lied to provide or document initial andfor 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 ort <br /> Rcr.EU271Mie <br /> 1569 E. Hazelton Avenue I Stockton, California 95205 1 T 209 465-3420 1 F 209 464.0138 1 www.sjcehd.com <br />