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Environmental H alth Department <br /> SANJOAQUIN <br /> COUNTY <br /> ..K <br /> Corrective Action Statement <br /> MF:August 2D, 202D, Hazardous Matarials inspection report <br /> Fare;ich vlolislian listed below, Indicate If the Violation has been corrected or Will be corrected by a certain date_ <br /> Aso,descrft what was dome to ocn wc,f the WaW on k?M space providers below each%4oJa0an_ Submit this <br /> completed form with the Return to Compliancy Certificaflon within 30 days of inspedion_ I f)(au have aft questions, <br /> please contaQ Nicholas Loehr@r at(209)468-p623 or nl0ehre1@sy90v_or9, <br /> Facility name: VERIZON WIRELVESS MODUNTAIN H01J8E Submit oompleted form to: <br /> Faoft addws-3- 207W MOUNTAW HOLKSt PKV1 Y S.IC ENVIRONMENTAL HEALTH [DEPARTMENT <br /> OEW3 ID, 141.44375 ATTN: NIChOLA9 LOEHRt R <br /> PR0538208 '1888 E HAZF-LTON AVENUE <br /> STGGf . CA 95A-105 <br /> Violution#6 -Failed to electronically submit a site reap with al required content. <br /> 0 This violation was�orrorted f]Xhia vic10on will be 0orreated by(data). <br /> 901's <br /> €iocurnanis flsctuded <br /> Describe actions taken or will be taken is correct violation, <br /> Pgge 2 012 <br /> Rev.911 <br /> 18631 _ Hazelton Avenue I StodKWn, California 95205 I T 209 488-3420 I F 209 464-0139 1 www,sjgnv,orgiEHD <br />