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2500 – Emergency Response Program
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COTTPEME1
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Last modified
9/18/2023 10:25:46 AM
Creation date
2/14/2019 10:49:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTTPEME1
PE
2546
STREET_NUMBER
2802
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12118041
ENTERED_DATE
2/5/2019 12:00:00 AM
SITE_LOCATION
2802 Country Club Blvd. pump 8
RECEIVED_DATE
2/4/2019 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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r <br /> SA N )O A Q U I N Environmental Health Department��, <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE n <br /> EMERGENCY LEVEL: EHD LOG# <br /> ❑x 1-No Evacuation/Local Response Only ❑II-Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: COTTPEME1 <br /> Name: Katie Gomez Phone: (971) 242-3162 <br /> Company: Solve One City: <br /> Address: <br /> Designated Employee: Jason Gaitan <br /> Reporting Agency: San Joaquin County Environmental Health Department <br /> Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br /> LOCATION AND DATE OF DISCHARGE: <br /> Location - Best 2802 Country Club Blvd, Stockton, CA 95204 City: et <br /> Physical Description: APN:12118041 <br /> Pump 8 121 Incorporated ❑ Unincorporated <br /> Date of Discharge: February 04, 2019 Date Notified: February 04, 2019 Time Notified: 11:42 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: Safeway Fuel Center 1769 <br /> Contact Person: Ron Lee Contact Phone: (925) 469-7513 <br /> Mailing Address: 5918 Stoneridge Mall Rd. <br /> City: Pleasanton State: CA ZIP: 94588 <br /> DESCRIPTION <br /> Material: Gasoline Amount: 5.00 ❑ lbs 0 gal ❑ cu ft <br /> Type of Discharge: Release from a fuel tank <br /> Circumstances: EHD was notified by Cal OES <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> Site was cleaned up. The waste was stored on-site in one 55-gallon drum and labeled as hazardous waste. <br /> SITE DISPOSITION <br /> Spill has been cleaned up. No further action is required at this time. <br /> Page 1 of 2 <br /> 1868 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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