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CO0031615
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CO0031615
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Last modified
9/9/2021 2:21:04 PM
Creation date
2/1/2019 2:59:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0031615
PE
2546
STREET_NUMBER
2808
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12118038
ENTERED_DATE
2/22/2010 12:00:00 AM
SITE_LOCATION
2808 COUNTRY CLUB BLVD
RECEIVED_DATE
2/22/2010 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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ADMIN
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2808\CO0031615.PDF
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EHD - Public
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s ' <br /> OWMER—ROCIFTD <br /> V <br /> 7300 West Friendly Ave r=8 2 4 2010 <br /> Greensboro,NC. 27420-2087 ENVIRONMENT(800)997-7725 HEALTH <br /> (336)547-5359 Fax PERMITISERUIrES <br /> WRITTEN FOLLOW-UP REPORT <br /> CERTIFIED MAIL 2/23/2010 <br /> RETURN RECEIPT REQUESTED <br /> County of San Joaquin—Division of Environmental Health <br /> 304 East Weber <br /> Stockton,CA 95202 <br /> Attn:Kasey Foley <br /> RELEASE NOTIFICATION <br /> Safeway-Nor Cal#1769 1 <br /> 2808 Country Club Blvd i <br /> Stockton,CA,95204 <br /> To Whom.It May Concern: <br /> In accordance with California reporting procedures, we herein provide the following follow-up <br /> information regarding the results of a chemical spill at Safeway-Nor Cal service station 1769, in <br /> Stockton, CA on February 22nd, 2010. The two gallon anti freeze spill was due to a customer vehicle <br /> leaking the fluid. The spill impacted the concrete only. <br /> Facility Address: 2808 Country Club Blvd-, Stockton,CA 95608 <br /> Substance Released: Chemical-Antifreeze <br /> Source: Customer vehicle <br /> Estimated Quantity: 2 gallons j <br /> Time: 14:00 EST <br /> Duration: unknown <br /> Media: Concrete <br /> Health Risk: No immediate threat to human health or the environment <br /> Action Taken: Site attendant cleaned up spill with absorbent pads. <br /> Precautions Required: N/A. <br /> Additional Measures: No further actions planned. <br /> Mobil Contact Person: Compliance Issues: Stan Olea 925-467-2707 <br /> Remediation Issues:Butch Hobson 925-469-7164 <br /> Acency Contact Time Notification# Caller <br /> Notification(s): County of San Joaquin Stacey 14:18 EST J.Patriquin <br /> OES Ron 14:16 EST 10-1325 J.Patriquin <br /> If you have any questions regarding this report,please call me(336) 315-2816. <br /> Sincerely, <br /> Jason Patriquin <br /> Gilbarco Veeder-Root <br /> Fuel Management Services <br />
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