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COMPLIANCE INFO_2020
Environmental Health - Public
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1900 - Hazardous Materials Program
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PR0538207
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COMPLIANCE INFO_2020
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Last modified
8/25/2020 8:59:58 AM
Creation date
8/25/2020 8:47:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0538207
PE
1921
FACILITY_ID
FA0022079
FACILITY_NAME
Verizon Wireless West Valley Mall
STREET_NUMBER
12352
Direction
W
STREET_NAME
LARCH
STREET_TYPE
Rd
City
Tracy
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
12352 W Larch Rd
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Corrective Action Statement <br />RE: August 20, 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. <br />Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br />completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br />please contact Nicholas Loehrer at (209) 468-0623 or nloehrer@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: NICHOLAS LOEHRER <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to:Verizon Wireless West Valley Mall <br />10145725 <br />12352 W Larch Rd <br />PR0538207 <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />¨ This violation was corrected ¨ This violation will be corrected by (date): <br />¨ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Page 2 of 2 <br />Rev. 8/27/2019 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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