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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0527831
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COMPLIANCE INFO PRE 2019
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Last modified
2/27/2019 4:31:21 PM
Creation date
2/27/2019 2:22:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0527831
PE
2220
FACILITY_ID
FA0003626
FACILITY_NAME
OAK PARK GAS & CONVENIENCE STORE
STREET_NUMBER
3212
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12532001
CURRENT_STATUS
01
SITE_LOCATION
3212 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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From:CALIFORHIA STATE WARNING C 19168458910 06/07 ' '1 09:48 # 77 P.0011001 <br /> California Emergency Management Agency <br /> Hazardous Materials Spill Report <br /> DATE: 06/07/2011 RECEIVED BY: CONTROL#: Q D <br /> TIME: 0940 Cal EMA- Tunothy Britt Cal EMA- 11-3404 Lq <br /> _t <br /> RC- <br /> La. PERSON NOTIFYING Cal EMA: <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4. Ext: 5.PAG/CELL: <br /> Rich Gossett BP 714-670-3958 <br /> I.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4. Ext: 5.PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY: Amount Measure c.TYPE: d.OTHER: e. VESSEL <br /> >=< >=300 Tons <br /> 1. Gasoline = 25-5 Gal(s) PETROLEUM O Yes • No <br /> 2. = O Yes • No <br /> 3. = 0Yes • No <br /> e.DESC RII''fIC3N: RP states that a customer over filled his tank causing the release of gasoline to concrete. Site <br /> did the clean up and no waterways were impacted. <br /> f.CONTAINED: g.WATER h.WATERWAY: i.DRINKING WATER IMPACTED <br /> INVOLVED: <br /> Yes NO <br /> J.KNOWN IMPACT None <br /> 3. a.INCIDENT LOCATION: 3212 North California <br /> b. CITY: c.COUNTY: d.ZIP: <br /> <br /> <br /> <br /> (Nel-flow <br /> e. IN.I£iRII.S f.I A.i,AIrCTY" b.:1 YAfXA'TI()N Iz.CI-LAN P BY: <br /> O Yes *No O Yes 0 No O Yes *No Site Personnel <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> .T-7.d Pemanard 209-271-4666 <br /> e.MAIL ADDRESS: f.CITY: g.STATE: h.ZIP: <br /> CA <br /> 6. NOTIFICATION INFORMATION: <br /> `a.ON SCENE: b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> San Joaquin OES,San Joaquin C--PA <br /> d.ADMIN.AGENCY: sin Joaquin County Finetgency Service_ e.SEC.AGENCY: <br /> f. ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h.NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: 513 <br /> ®AA/CUPA ❑AIR RESOURCES BD ❑DPR ❑Cal EMAHAZMAM-M❑SFM ❑OTMR <br /> ®DFO.OSPR ❑CALTRANS ❑M PARKS ❑Cd EMA PLANS UtM [:]M&M ❑DFO/OSPR/MSU <br /> ®DTSC ❑CDF ❑EMSA ❑Cal FMA REO ❑USCO <br /> ®RWQCB ❑COAsrAL COM ❑FEMA ❑OSHA ❑Co/VJP <br /> N US EPA ❑CDPH-D.O. ❑FOOD A AO ❑PARKS&PEC ❑Co/Mth <br /> N USFWS ❑DOO ❑LANDS ❑PUC ❑Co/E-Hlth <br /> CONFIDF.NTJA)L. <br /> REMARKS: <br /> 4t'arnlnM.centcraops.culema.ca.gor,R9_RRCrF.PA.G0V;I)TSC.PERfttnilixont <br />
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