Laserfiche WebLink
PUBLIC HEALTH SERVICES <br /> o,0 1 . <br /> SAN JOAQUIN COUNTY <br /> v. <br /> JOGI KHANNA M.D.,M.P.I1. A ` <br /> Health Officer <br /> P.O. nn: 2009 . (1601 East Ilnzelton Avenue) . Smtkrtm,Cnlifornin 95101 �.tlr rib <br /> (209)469-3400 <br /> PMPROPNCY RPNPONSP RECY)RU <br /> DISIRTCr# ii(-) DATE S"I' <br /> PREMISE ADDRESS 4WO f,(-fieK Ronj <br /> DRA C_�3=4 Hnri-nn <br /> PREMISE OWNER <br /> ADDRESS! tit s .raj j? i—oP4—[p <br /> MCILIIY CONTACT <br /> NAIL'RE Or CUM PLAINT(nplosion,spill,I it fire,or nhmtdon/dumped rnnferial): A nor e tAn I n 1 <br /> / c� �h � Mry� <br /> TIME RFCEIVFU-=P-�IIME Or ARRIVAL 3onl'IMv. or DF-PAR I Ultf7 t) (7YY\ <br /> PERSONS AT SCENE (I prflj) <br /> AOENCY PIIONENO, 7UA <br /> rXl scP naS-0 <br /> n <br /> EDEN'f IFICAT10N OF MATERIAL(CIMMIUL nrvOLVrn) An l;ALm F,-i r—1,a <br /> SUBSTANCE rORM: I I SOLID I I POWUEIt ( I OAS 6 LIOUID I I (MANUI.l: <br /> ItErERRALS 'i'O: Ca �C J�F r7�/S�T�x a0 DATE MA11.I71): <br /> DAIECOMPLFIED: PROP 65 (0-4(-ql OAR IJI /k <br /> PERSONS EXPOSED nnd/or INJURED <br /> NAME ADDRFSS I'1IONR No. <br /> 1I ,VESIIOATION REPORT otreWntfu+tnnos,ctsAN.uP,umMMMmAnus <br /> o ,ndMAP): "/j <br /> I 00 <br /> i <br /> 1rr)�lf 'n a&gc� no, Oveve _ <br /> Il1.E CRP-AlrD(] MAP MCLUDRD 14" SIIORT-'IE,RM A•ITACIII?U ITR 111.1?COPY 141 <br /> A Division of San Jnagnin County Ilralth Cue Servites <br />