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7 M ON Environmental Health Department <br /> SAL <br /> r. <br /> COUNTY <br /> - <br /> Corrective tive Action Statement <br /> RE: September 16, 2 02 0, Hazardous Materia Is inspection report <br /> For each violation listed below, indicate d the violation has been corrected or will be corrected by a rE,rtain date. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed for <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Robert Lopez at(209) 953-6214 or rlopez@sjgov,org, <br /> Facility name' Verizon Wireless Hammer Lame Submit completed form to: <br /> Facility address: 5407 Kelley Dr SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CER$ ID' 90143457 ATTN: ROB IFRT LOPEZ <br /> PRO5 0429 1865 F HAZELTON AVE MUE <br /> STOCKTON, OA 95205 <br /> Violation# - Failed to electronically submit a site map with all required content. <br /> ❑ This violation was corrected Q This violatton will be corrected by (date): <br /> Supporting documents Included <br /> Describe actions taken or wil l he taken to correct violation: <br /> Violation #11 - Failed to provide or document Initial and/or refresher training to appropriate personnel. <br /> ❑ This violation was corrected ❑Thio VIoratlon will be corrected by (d ate): <br /> Supporting documents included <br /> Describe anions taken or will be taken to correct violation; <br /> Page 2 of 2 <br /> R6v_9f16j.�o20 <br /> 1 Bea E. Hazelton Avenue Blockton, Celifornla 95205 1 T 209 465-3420 F 209 464-0138 1 www.sjgov.org/EHD <br />