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+ Environmental Health D partment <br /> SANJOAQUIN <br /> C= OUNTY <br /> Corrective Action Statement <br /> RE: SWmbw 09, 202Q, Hazardous Mote rials inspection report <br /> for eadfi violation listed beTcsw, irAcafe if Me vi6a{dorr bras bam rree:teat orWM be ctxrrecWd by a certain date. <br /> Ase.dsscrhl�e*chat was dome to tarrect the vlolation in the space provided below each violallon. Submit this <br /> cornvleked hrrn with the fleturn la Compliance Certificalion wlthin 30 days of inspection. If you hove tiny que�,Uuna, <br /> please Ounk�jct Nicholas toehrer at(209)468-0623 or niuehrarQ gW.arg- <br /> Fac[Ny name; Verizon Vwejesg Lafhrop 341amit completed form to: <br /> Fsaty addrass_ 124 3 S Manthey Rd SJG ENVIRONMENTAL HEAT-.TH DEPARTMENT <br /> CaRsID_ 10144027 ATTN. NMHOLAStf5WER <br /> PR0637M IWO a HA2'a-FON AVENUE <br /> STOCKTONA 95205 <br /> Violation 1V9- Failed to alectranieally submit a situ snap with all raqulred confoont. <br /> ❑ This viofdtiau was carred L❑7hls Walntlon vAll be cormcteot by(dale), _ <br /> b<Strppurflrrq douu+4rents In eluded <br /> Oe scrfbe actions{'Orr ar"I�e taken tai a;aarree�ulolatlon- <br /> Vioilation#1't •Faltad to provide or dricunient initlat elndfor refresheriratinkg to apps at& rsc1, <br /> a ThIs via?aVon was coymtied 13 This violation vAll be correctrad by(date: <br /> 324voirthip documerds included <br /> actions},kasn aar wall be tAm to correct vtolatlon <br /> I <br /> I <br /> I <br /> Ir <br /> fl <br /> 1 <br /> i <br /> f <br /> I <br /> r <br /> l <br /> r <br /> page 2 of 2 <br /> i 65 E. HazeltonAvenue y Stockton. Ca ifomla 952051 7 209 45B-34'20 i F 209464-0TA f W%Wx�oslOxtm <br />