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CO0042547
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CO0042547
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Entry Properties
Last modified
5/22/2019 12:13:48 PM
Creation date
1/30/2019 4:24:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0042547
PE
2546
STREET_NUMBER
809
Direction
S
STREET_NAME
AURORA
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14731002
ENTERED_DATE
11/14/2016 12:00:00 AM
SITE_LOCATION
809 S AURORA ST
RECEIVED_DATE
11/14/2016 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\A\AURORA\809\CO0042547.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 • Fax:(209) 468-3433 - Web:www.sjgov.org/ehd <br /> C/FORS <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 11/14/2016 SHORTTERM#: C00042547 <br /> PREMISE ADDRESS:609 S Aurora St CITY: Stockton <br /> DBA;PG&E CROSS STREET: <br /> PREMISE OWNER:PG&E (Alex Steele) PHONE: 209-736-6426 <br /> OWNERS ADDRESS:1108 Murphys Grade Rd CITY;Angels Camp <br /> FACILITY CONTACT:AleX Steele PHONE:209-736-6426 <br /> RESPONSIBLE PARTY(RP)DBA: <br /> RP NAME:as above PHONE: <br /> RP ADDRESS: CITY: <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Transformer oil spray from overflow valve, EHD was not notified at the time of the incident and inspected <br /> the area after the clean up was completed <br /> TIME RECEIVED:10.10 am ITIME OF ARRIVAL: 1.30 Pm ITIME OF DEPARTURE:2 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA im <br /> Elena Manzo SJC EHD 209-953-7699 1:30 pm 2 pm <br /> MATERIAL/CLASSIFICATION(C EMMiNVOLWD) <br /> IDENTIFICATION SPILLED? SOS <br /> LIQUID C COMMENTS <br /> Transformer oil X O N 1/2 spilled oil <br /> Excavated soil n XN clean up material <br /> 0Y ON <br /> 0Y ON <br /> 0Y ON <br /> OY ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 11-16-2016 DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES n NO <br /> ER BINDER COPIES: <br /> /Q SHORT-TERM ON TOP p( NARRATIVE X MAP ❑ ANALYTICAL DATA X PROP 65/JAR 0 FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS 0 CLEAN UP REPORT 0 OTHER AGENCY REPORTS 0 EXPOSURE RECORD A( PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />
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