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: NEnvironmental Health Department <br /> Corrective Acbon Statement <br /> RE-. Gepternber 09, 202[x, Hazardous Materials irrs Iian jrepDA <br /> For each vWaVen llsWd bels v. intimate if the viNaiion tla�,beer~corrected or V+iiI iso corrected by a certain date. <br /> Xsa,describe i0W wins dme to oorreci the violation In the space provlcjed below each violation. Submii ft is <br /> c"eted from with the Return to i umpiGahoe Cert ke ir;,n within 30 dfiys of lhispectfon. if fou have any qu stror�s, <br /> please contact Nicholas Loehrer at(209)440623 or nMoehrer sjgov_org- <br /> Facility rlarrle' Veftori Wiraless Garrofton Road &"r MPlated Norm to: <br /> Facility Wdres�,: M72 S Carrolton Ave SJC EWIRt7A1MJFnM HFAI-Tri DEPARTMENT <br /> CERS IU: 1014260/ ATM, WHbtAS LOEHRER <br /> PR05�72159 'iWB E HAZELTON AVENUE <br /> STQCKTCJN,CA 9620 <br /> Wokiflan#6 -Failed to eiectranieally submit a site map with all required con*nt <br /> Q This vtolation Voss corrected Q This viofafioti wifI be cofmc ted icy{da#a}; <br /> Supporting danurnents irlciuded <br /> aciipns taken yr will k+e I�.Icen to correctviolation' <br /> lffofzffun 0i -Eaited!o provide 4w dDvwn9nf.lnitlal andfor refr'osher tr'allning to approprlate personnel. <br /> El -Ms yiolst+on was ccrrected ❑This violation will be corrvctsd by(daW): <br /> r SuppoAft rumenfs included <br /> 193e Cibe ackvns fakers or wM be faken to corrtsA►'isWor}: <br /> J <br /> Rev A07j2Gjq <br /> I <br /> If <br /> S <br /> If <br /> 1 <br /> l <br /> 1 <br /> l <br /> r <br /> I <br /> I <br /> I <br /> PDce2of2 . <br /> y7 IOR E. hazel Lon Avenue I 6t0WOn,Calftfflla 95205( T 209466-3420 t F 209 -01:38 www. oorn <br /> I <br />