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2500 – Emergency Response Program
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COKPHK0BO
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Last modified
4/6/2020 4:55:56 PM
Creation date
1/30/2019 5:03:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COKPHK0BO
PE
2546
STREET_NUMBER
0
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95391
ENTERED_DATE
2/21/2018 12:00:00 AM
SITE_LOCATION
Byron Rd X Mountain House Parkway
RECEIVED_DATE
2/21/2018 12:00:00 AM
QC Status
Approved
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ADMIN
Supplemental fields
FilePath
\MIGRATIONS\B\BYRON\0\COKPHK0BO.PDF
Tags
EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> CJUNTY - <br /> EMERGENCY RESPONSE RECORD <br /> Date: February 21, 2018 Short Term#: COKPHKOBO <br /> Premise Address: 0 Byron RD City: TRACY <br /> Premise DBA: Cross Street: Mountain House Parkway <br /> Premise Owner: San Joaquin County Owner's Phone: <br /> Mailing Address: Owner City: <br /> Facility Contact: San Joaquin County Contact Phone: <br /> RP DBA: HASA <br /> Onsite RP Name: Dave Johnson, Vice President of Engineering Onsite RP Phone: (925)432-3866 <br /> Mailing Address: 1251 Loveridge Rd RP City: Pittsburg <br /> RP Contact: Dave Johnson, Vice President of Engineering Contact Phone: (925) 432-3866 <br /> NATURE OF RESPONSE (explosion, spill, leak fire or abandoned/dumped material <br /> 20-30 gallon Sodium Hypochlorite spill (12% aqueous solution) on Byron Rd at Mountain House Parkway. Cal-OES spill <br /> report 18-1161. <br /> Time Received: 5:30 am Time of Arrival: 7:15 am Time of Departure: 10:45 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE IQA IQQ <br /> Srgt Danny Lecce CHP <br /> J Gish Mountain House Fire <br /> Garrett Backus SJCEHD <br /> Dave Johnson Hasa Pool <br /> Richard Doss Hasa Pool <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(1651 LIQUID(oafs GAS(cu ftl COMMENTS <br /> Sodium Hypochlorite, 12 30.00 ❑ 0 ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: February 21, 2018 Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? OYES ONO <br /> Page 1 of 2 <br /> 11368 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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