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I' r 4' 1'7 1'7 ;JIk+JAQ <br /> 411 Environmental ent �■ Health Department <br /> CorrectiveNTY <br /> Action Statement <br /> RE: September 17, 2020, Hazardous Materials inspection report <br /> For each Vlola.Uon Iistod 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 violation in the space provided below each violation_ Submit this cornpleted For <br /> with the Retum to Dornpliance Carttfication within 30 days of inspection, Ir you have any questions, please contact <br /> Robert Lopez at (209) 953-6214 or rlopez@sjqov.org. <br /> Facility name: VER IZON WIRELESS WATERLOO Submit completed form to_ <br /> Facility address: 79H E.FOPPIANO LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> OEIRS ID: 10945577 ATTN: ROBERT LOPEZ <br /> PROB13001 1968 E HAZEL`fON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation 46-Failed to electronically submit a site map with all rec uired 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 � Fal led to provide or document.inPtial andfor refresher tralnIng to approp114te personnel. <br /> p This violation was corrected Ca This violation wlII be corrected by (date): <br /> X'Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 2 <br /> rtc,R,a�yeraoza <br /> 1868 E. Hazelton AvenuE l Stockton, Cali(QTnia 95205 l T 209 468-3420 ` F 209 464-0136 1 VoAv,sjgov.orgfEHD <br />