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S A -JOA U I Environmental Health Department <br /> Corrective Action Statement <br /> RE: September 16, 2020, Hazardous Materials inspection report <br /> For each violatim listed below, indicate if the violation has been 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. Submit this completed for <br /> with the Return Ito Compliance Certification within 30 days of inspeP-tion_ If you haw+d any questions. please contact <br /> Robert Lopez at (209) 953-6214 or rlopersjgov.org. <br /> Facility name= Verizon Wireless SrooMide Submit completed form to: <br /> Facility address; 3122 Brookside Rd SJO ENVIRONMENTAL HEALTH DEPARTMENT <br /> OERS ID: 10142589 ATTN: R013ERT LOPEZ <br /> PR0513201 '1868 E HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Violation #6 -trailed to electronically submit a site map with all required content. <br /> ❑ This violation was corrected ❑ This violation wlII be corrected by (date): <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation #11 - Failed to provide or document initial andfor refresher training to appropriate personnel. <br /> p This Aolation was corrected ❑ This violation will be corrected by (date): <br /> Supporting documenN Included <br /> Describe actions taken or will be taken to correct violation. <br /> Page 2 of 2 <br /> IM E_ Hazelton Avenue{ Stockton, Oallfornia 95205 1 T 209 465-34201 F 209 464-0138 1 WWW.sjQov.org/EHD <br />