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SAN J O A Q U I N Environmental Health Department <br /> C. C.) t j 1\1 J <br /> Corrective Action Statement <br /> RE : August 26 , 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 Robert Lopez at (209) 953 -6214 or rlopez@sjgov. org . <br /> Facility name : Verizon Wireless Victoria Island Farms Submit completed form to: <br /> Facility address : 16021 W HWY 4 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10600393 ATTN: ROBERT LOPEZ <br /> PR0539726 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation 46 - 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 /> Violation #11 - Failed to provide or document initial and /or refresher training to appropriate personnel . <br /> [I This violation was corrected 11 This violation will be corrected by ( date ) : <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation : <br /> Page 2of2 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 - 3420 1 F 209 464 -0138 1 www. sjcehd . com <br />