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S I Environmental Health Department <br /> COUNTY' <br /> orre tive Action Statement <br /> RE-. September 09, 2020, Hazardous Matefials inspection report <br /> For each vbolallojj IlsWd bsI❑w,indicate it the violation hens been oorrected or will be correOed by a certain dale. <br /> Also. descibe whatwas done L4 oorrecLthe violation In the spaoe provided below ea6 viviadorr. Su mit Ws <br /> c3miip&ted kv7r i4M Pw Relllrn to CDmOanoe Certificatkm within 30 dakys of Inspection. If you have any ques4ons, <br /> Please contact Nicholas Loehrer at(209)46"623 or nloehrorQsjgov,grg. <br /> fadoly name: Vt�rizorn WiriiMass Stockton Airport Submit completed Form to: <br /> Facility address: 949 E Dudley Rd SJC ENV1P,Qt+MF-NTAL HrALTH D1=PAKTWiENT <br /> OERS Ib' 10945367 ATM' NX-MOLAS LOEHRER <br /> 053722' 1665 l=HAMI-TON AVENUE <br /> STOGMN.CA 952C6 <br /> Violation 46- Fel lad to electronically s"bmit a stte melp with all required content. <br /> This vlolatibn W'ds Corrected lS Th is vic)lation vol 11 be torrected by([late): <br /> Supporting documents Included <br /> 17" ribe action,taken or will be Laken to correct violation, <br /> l Ovation ai i -Faued to provide or document inMal onrldar refresher tralniing to appropriate personnel. <br /> ❑ This vfofaVon was cumacted ❑7h�s Wolagon will be rarpecteQ by (date): <br /> Suppw6ing documents Included <br /> t7 oribe salons taken orwill be taken tic correct violation; <br /> i <br /> ti <br /> a . <br /> I page z of 2 <br /> Rea,&27rAl9 <br /> 1888 . hazelton Av(nue Stockton,Calftnia 95205( T 269 4W-3420 t F 464-0IaO I wWW sjcehdx!# r <br />