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COMPLIANCE INFO_2020
EnvironmentalHealth
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1900 - Hazardous Materials Program
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PR0541022
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/7/2020 1:49:58 PM
Creation date
9/17/2020 4:55:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0541022
PE
1920
FACILITY_ID
FA0023484
FACILITY_NAME
Verizon Wireless Bear Creek
STREET_NUMBER
10979
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
10979 N MICKE GROVE RD
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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A JOA U I N Environmental Health Department <br /> COU NTY- <br /> t <br /> yV r 4 i f+ i�r is F'•' i r'1' ' <br /> Corrective Action Statement <br /> ISE- September 17, 2020, Hazardous Materials inspection report <br /> For each violation 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 violation in the space provided below each violation. Submit this completed for <br /> with the Return to Corn pliante Certification within 30 days of inspection, If you have any questions, please contact <br /> Robert Lopez of(209) 953-6294 or rlopez@sjgov.org, ; <br /> Facility name; Verizon Wireless Bear Creek Submit completed farm to: <br /> Facility address; 10979 N MICI E GROVE RD SJO ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID- 10663819 ATT4 ROBERT LOPEZ <br /> PR0541022 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95295 <br /> 'Vic latlon #6 -Failed to electron lc ally submit a site reap with all required content. <br /> ❑ This violation was corrected Q This violation will be corrected by (date): <br /> SSupporting <br /> documents included <br /> ibe actions taken or will be taken to correct violation_ <br /> Vilolation 411 -Failed to provide a document initial andlor refresher training to appropriate personnel. <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date): <br /> 051�—Supportjng documents fnctuded <br /> Describe actions taken of wl11 be taken to correct violation: <br /> Page 2 of 2 <br /> Rem WJ Sa 2020 <br /> 1568 E_ Hazelton Avenue 1 Stockton, Callfornla 95205 1 T 209 468-34201 F 209 M4-6138 I www.sjgov.org11EHO <br />
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