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tiAJ O A Q U I N Environmental Health Department <br /> (:O U T <br /> Corrective Action Statement <br /> FSE: September 01, 2020, Hazardous Materia)s inspection report <br /> For oach violation listed below, indicate if the violation has peen corrected or will be corrected by a certain date. Also, <br /> describe what was done to correct the violatlon in the space provided below each violation. Suloit this completed fop <br /> With the Return to Compliance Certirication within 30 days of inspectlon. If you have any question s. please contact <br /> Robert Lopez at (209) 953-6214 or dopez sjgov.org. <br /> Facility name. Verizon Wireless Eldopine SubmIttompleted Form to: <br /> Facility address: 3535 N E1-DORADO ST 3JC ENVIRONMENTAL HEALTH DEPARTMENT <br /> OERS ID; 10595476 ATTN= I OBERT LOPEZ <br /> PRO539966 t8W€HAZEL TON AWNUE <br /> STOCKTON. CA 85265 <br /> Violation #6 -Failed to electronleally submit a site reap with all required content. <br /> b Th Is violation was corrected 0 This violation will be corrected by (date): <br /> �Supporting documents included <br /> Describe actions taken or will be taken to correct lriolation; <br /> Violation 911 - Failed to provide or document Initial andlor refresher training to appropriate personnel. <br /> ❑ This violation lavas corrected ❑ Th Is violation will be corrected by (date): <br /> *'S upporting documents Included <br /> Describe actions taken or will be taken to correct violation_ <br /> Page 2 of <br /> rte_W27;2019 <br /> 1.868 E. Hazelton Avenue Stockton, California 952051 T 209 468,A20 F 209 464.0138 1 www.sj cehdxam <br />