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COTQBW0JS
EnvironmentalHealth
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2500 – Emergency Response Program
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COTQBW0JS
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Entry Properties
Last modified
7/25/2022 8:25:36 AM
Creation date
2/8/2019 6:47:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTQBW0JS
PE
2546
FACILITY_NAME
PGE
STREET_NUMBER
0
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632
ENTERED_DATE
5/7/2017 12:00:00 AM
SITE_LOCATION
E Liberty and Elliott Rd
RECEIVED_DATE
5/7/2017 12:00:00 AM
QC Status
Approved
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Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\0\COTQBW0JS.PDF
Tags
EHD - Public
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,r <br /> SAN JOAQUIN COUNTY COPY <br /> Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> I\y �Iy 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �. (209)468-3420 •Fax. (209)464-3433 • Web:www.sicov ora/ehd <br /> \tib gaN�r <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE EHDLOG# <br /> EMERGENCY LEVEL: <br /> ❑X 1-No Evacuation/Local Response Only [III-Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or Regional/State Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME: Elena Manzo PHONE: (209)953-7699 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 1868 E. Hazelton Ave. <br /> DESIGNATED EMPLOYEE NAME: Elena Manzo PHONE: (209) 953-7699 <br /> REPORTINGAGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> LOCATION AND DATE OF DISCHARGE <br /> LOCATION: <br /> Best Physical 30 feet north of Elliott and Liberty intersection cITY Galt E] Incorporated <br /> Description © Unincorporated <br /> DATE OF 5_69d <br /> _o'✓^1-4 <br /> DISCHARGE: <br /> DATE / <br /> NOTIFIED: r TIME: 11:54 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: PG&E <br /> CONTACT PERSON: Alex Steele 209-337-8902 <br /> PHONE: <br /> PHYSICAL ADDRESS: 1108 MUrphyS Grade Rd.,Angels Camp 95222 <br /> MAILINGADDRESS: as above <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: transformer spill <br /> VOLUME: approximately 60-70 gallons <br /> CHEMICALS: transformer oil <br /> CIRCUMSTANCES: vehicular accident <br /> ACTION TAKEN <br /> Absorbent was applied to paved surface, soil excavation was initiated. <br /> SITE DISPOSITION <br /> Additional excavation is pending the USA-dig clearance <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />
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