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SA NJ UU I N Environmental Health Department <br />—COUNTY— <br />Greatness <br />--- C ODUNHT Y— <br />Greatness grows her. - <br />Corrective Action Statement <br />RE: April 19, 2022, 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 <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Paul Nso at (209) 616-3049 or pnso@sjgov.org. <br />Facility name: Verizon Business: MANTECA Submit completed form to: <br />Facility address: 2551 E LOUISE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10181481 ATTN: PAUL NSO <br />PR0512290 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #9 - Failed to annually review and certify that the HMBP Is complete and accurate by the due date. <br />Rev 911WM20 <br />This violation was corrected <br />❑ Supporting documents included <br />taken or will be taken to <br />❑ This violation will be corrected by (date): <br />01 <br />Page 2 of 2 <br />n <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org,'EHD <br />