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i <br /> I <br /> I <br /> I <br /> Environmental Health Department <br /> SAN ,,JOAO U IN <br /> . OU T <br /> i <br /> II <br /> Corrective Action Statement , <br /> RE: September 01, 2020, Hazardous Materials inspection report { <br /> For each violation listed below, indicate if the violation has been corrected ar will be corrected by a certain date. Also, <br /> describe what was done to correct the violation in the space provided below each viola#ion, Submit this carnpletod for <br /> With the Return to Compliance Certification w1thin 30 days of inspection. if you have any questions, pieese contact <br /> Robert Lopez at(209) 953-6214 or rlopez@sjgov.wg- <br /> Facility name: Varizon Wirel ass Lincoln ViIlag@ Submit completed form to: <br /> Facility add re s: 6471 Pacific Aire 81 ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10144065 ATTN. ROBERT LOPEZ <br /> PR051 X990 1868 E HAZEL TON AVENUE <br /> 5TOCKTON, CA 95205 <br /> Violation #6 -Failed to electronically submit a site map with all required content. <br /> a&This violation was corrected ❑ Th Is violation will be corrected by (date): <br /> Supportirtg documents Included <br /> Describe actions taken or wl II be taken to correct violation: <br /> Violation#11 -Failed to provide or documant initial and lor refresher training to appropriate personnel. <br /> ❑ This violation was corrected 0 This violation will be corrected by (date): <br /> Supporting documents Included <br /> Describe aclk a taken c 1 be taken to eol'raef VoJatJw <br /> Page 2 of 2 <br /> Rear. 72019 <br /> 1068 E. Hszelton Avenue j Stockton, California 95205.1 T 209 468-34201 F 209 464-0138 1 www.sjrehd.corn <br />