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SITE INFORMATION AND CORRESPONDENCE FILE 3
EnvironmentalHealth
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2575
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2900 - Site Mitigation Program
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/21/2019 5:29:52 PM
Creation date
6/21/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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08-05-2004 21 : 37 From-OES HQ SACRAMENTO W/C 818145-8010 T-818 P . 001 /001 F-381 <br /> °� 1 - �. v� vn vPl IIiC UC ,tRGENCY SERVICES <br /> ,S== ihx Hazardous Materials Spill Report <br /> DATE: 08/05/2004 RECEIVED BP: <br /> TIME : 1940 OES - Chris Flare CONTROL#: <br /> O8PR - OES - 04-4077 <br /> I.a. PERSON NOTIFYING GOVERNORS OES: NRC - <br /> 1 . NAME: 2. AGENCY; 3. PHONE#; 4. Ext. 5. PAG/CELL: D <br /> Tim Hill Stocicton F.D. 209.639.8310 <br /> S.b. PERSON REPORTING SPILL (If different from above): <br /> 1. NAM$ : 2. AGENCY: 3, PHONE#; 4. Ext: 5. PAGICELL; <br /> 2, SUBSTANCE TYPE: <br /> 2, a. SUBSTANCE: b.QTY:>=a Amaunr MensuPr <br /> 1 , Contaminated Water _ e. TYPE: d. OTHER; <br /> unk Unknown OTHER Contaminated <br /> 2. Water <br /> 3. - <br /> e. DESCRIPTION: Equipment failure caused the release, The release has been going for two days at 3 gals. a <br /> minute 18,640 gals estimated have reached smith canal. 54 PPB of Benzene, 2500 PPB of MTBE <br /> 43000 PPB of TP , 28000 PPS TBA, <br /> II-G. <br /> C CONTAINED: g. WATER INVOLVED; h. WATERWAY: i. DRINKING WATER IMPACTED <br /> No Yes smith canal Unknown <br /> 3. a. INCIDENT LOCATION: NE Corner of Plymouth and Country Club. <br /> b. CITY: c. COUNTY; d. ZIP; <br /> Stockton San Joaquin County <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE;08/05/2004 b, TIME (military): 1908 c. SITE: MerehanNBusiness <br /> d. INJURIES# e. FATALS #: E EVACS 4: <br /> 0 0 0 g. CLEANUP By: <br /> Unknown <br /> &gni"` a�:,#,T ° ER •. 'NINOTIFYJ � ' o <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a. NAME: b. AGENCY: c. PHONE#: d. EXT.; <br /> Cambria Env. Tecbnology Inc. 510-420-3312 <br /> e. MAIL ADDRESS: C CITY: <br /> 5900 Hollis St, Emeryville CA TATE: h. ZIP; <br /> 94608 <br /> joroor <br /> 6, NOTIFICATION INFORMATION: <br /> Ia, ON SCENE: b. OTHER ON SCENE: <br /> Fire Dept, e. OTHER NOTIFIED: <br /> Municipal Utilities Co Health, Co OLS <br /> d. ADMIN. AGENCY: Ban Joaquin County Pmerpney services e. SEC. AGENCY: <br /> fe NOTIFICATION LIST: DOG unit: RWQCB Unit: SB <br /> Pu; ANCVPA � USFWS ��II pHSD.O. ❑ POOD3nG OSHA N� <br /> LC <br /> ALr—J� qDFD•DSpR ❑ Ani RESOUACFS Do LJ 006 LAND$ {r , USCG <br /> le. DISC ❑ CALTA4NS r❑ L•N PARXS (L-. JI OkS Nn2MATUN�T nY Ai RPC LJ USP01 <br /> RWQCO r❑^ CDh �L-� EMSA a OPS PLANS UNIT gpM ❑ OTPo`R <br /> LJ US ePA COASTAL COAL I.. j F'RMA ❑ oec pg0 ❑ u3rvP45 <br />
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