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i <br /> I <br /> Environmental Health Department <br /> U NT <br /> Corrective Action Statement <br /> RE. September 16, 2021), Hazardous Materia)s irrspectorr report r <br /> For each violatian listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br /> describe what was done to correct the violafion in the space provided below each violation. Submit this cornpletQ for <br /> With the Return to Compliance Cerfificadon wilhin 30 days of inspection- If you have any questions, please contact <br /> Robert Lopez at(209) 953-0214 or rlopez sjgay.org, <br /> Facility name: Varizon Wireless Stockton Auto Mall (Auto Gtr) Submit completed form to: <br /> Facility address: 2853 Saxton DR SJG ENVIRONMENTAL HEALTH DEPARTMENT <br /> ERS 1D: W-145389 ATTN. ROBERT LOPEZ <br /> PRO513039 1868 E HAZE- N AVENUE <br /> STOCKTON, CA 85205 <br /> Violation #4-Failed to electronically submit the Business Activities or Own arlOperator Identification page. <br /> This violation was corrected ❑ This Violatlon will be corrected by (date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#6- Failed to electronically submit a site map with all required content. <br /> b This vlolatlan was corrected ❑ This violation will be corrected by (date): <br /> kupporting documents included <br /> bescnbe actlons taken or will be taken to correct violation: <br /> Violation#11 -Failed to provide or document Initial andlor refresher training to appropriate personnel. <br /> ❑ This violation was corrected ❑ This violation will be corrected by (data): <br /> ft-1,Supporfing decumenfs included <br /> Describe actions then or will be taken to correct violation: <br /> Page 2 of 2 <br /> Rev,919rr2wA <br /> 1068 E. Hazelton Avenue I Stockton, Cal lFornia 95205 1 -T 209 468 420 I F 209 464-0'138 1 www.sj gov.org&H 0 <br />