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i <br /> i <br /> S J O U I N Environmental Health Department <br /> . . <br /> COUNTY <br /> Corrective Action Statement <br /> FSE: September 16, 2020, Hazardous materials inspection report <br /> For each violation listed below, indicate if the violation has been corrected nr will be corrected by a certain date. Also, <br /> describe what was done to correct the violation in the space provided below each violation_ Submit this oomplettid fop <br /> with the Return to Compliance Certification within 30 days of inspection_ If you have any questions, please contact <br /> Robert Lopez at(209) 95M214 or rlopez( sjgouorg. <br /> Facility name: Verizon Wireless Mosher Creek Submit completed form to, <br /> Facility address: 9025 Wast Ln SJC ENVIRONMENTAL HEALTH OEPART14ENT <br /> CERS ID: /0144367 ATTN: ROBERT LOPEZ <br /> PRO537291 ?BW E HA2ELTON AVENUE <br /> TOCKTON. CA 95205 <br /> Ulofation #6-Felled to electronically submit a site map with all required content, <br /> ❑ This violation was corrected Q This violation wlII be corrected by {date): <br /> Supporting documents included <br /> pas dhe actions taken or will be taken to correct violation; <br /> lfiol;tlon#1I -Failed to provide or document Initial andlor refresher traInIng to appropriate personnel. <br /> This violation was corrected 11This vlolaticn will be corrected by (date): <br /> Supporting documents included <br /> bescribe actions taken or will be taken to correct vlolation; <br /> Y, <br /> Page 2 of Z <br /> Rev,a+W2020 <br /> 1869 E. Hazelton Avenue I Stockton, Oalllibmia 95205 1 T 209 468-34201 F 209 464-0138 1 www_sjgo\o.org/EHU <br />