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I <br /> I <br /> i <br /> Q AQUIN Environmental Health Department <br /> SANJa <br /> COUNTY, <br /> i <br /> Corrective Action Statement <br /> RE. September 16, 2020, Hazardous Materials inspection report <br /> For each vlolalion fisted below, indicate if the violation has been corrected or will be corrected by a certain dale. Also, <br /> descrlbe what was done to correct the violation in the space provided below each violation_ Submit this completed for <br /> with the Return to Com plianoe Cerlificatfon within 30 days of inspection, If you have any questions, please contact <br /> Robert Lopez at (209) 958-6214 or riapaz@sjgov.org. <br /> Facility name: Verizon Wireless CAT Submit completed form to: <br /> Facility address: 6737 Herndon PI SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10142707 ATTN: ROBERT LOPEZ <br /> PRO538183 1868 E HAZELTON AVENUE <br /> STO KTON, CA 95205 <br /> Violation 455 -Failed to electronically submit hazardous materials inventory for all reportahle materials on <br /> site. <br /> ❑ This violation was corrected ❑This violation will be corrected by (date): <br /> Supporting documents included <br /> O cHbe actlans taken or will be taken to correct violation: <br /> Violation ##11 - Fal lad to provide or document init!all andlor refresher training to appropriate personnel. <br /> ❑ This violation was corrected d Th Is vlolatton will be corrected by (date): <br /> uppnrting documents included <br /> Describe actions taken or will be taken to correct violation; <br /> i <br /> i <br /> I <br /> Page 2 of 2 <br /> .W1602020 <br /> 1868 E. Hazelton Avenue j Stockton, California 95205 T 209 468-34201 F 209 464-0135 1 www.Ogov.org&H D <br />