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ARCHIVED REPORTS XR0003475
EnvironmentalHealth
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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003475
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Last modified
6/21/2019 9:37:03 PM
Creation date
6/21/2019 3:37:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003475
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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Tom PYnkos,Executive Officer <br /> August 30,2004 <br /> Page 2 <br /> SPILL NOTIFICATION REPORT <br /> Volume Released to hetet Water UWMOwn-San Joaquin County storm water system. <br /> Rece vw W ter Im c Unknown-San loagwn County stormwater system <br /> Noe c-,rj ras 1 Regional Water Quality Control Board on S16l04 <br /> 2 CA Office of Eme 4ency Services on S/5/04.Report#04-4077 <br /> 3 CA Department of Fish and Game on 8/5/04 <br /> 4 San 7oaquw County Euvaraumental Health Division on 8/5/04- <br /> 5 San loagtwa Cotmty Office of Emergency Services on 815104 <br /> Rernedaahota� Licensed hazardous waste MmOval company performed high pressure clearing of ail <br /> contaminated areas of City stotmwater systema above and below grade, hydro-va IM <br /> removal of clemno water from stormwater system <br /> Retraedaataon CqMietton Date 816/04 <br /> On- o Investivanon/ mons Sana Joaquin Counry <br /> SSjrhetnatacs� Enclosed <br /> SamDIe&; Collected after cleanimg of City stOnnwater system on 9/6/04 <br /> Results are enclosed <br /> If you have any questions regarding thts report, please contact Ibchafd Strffler.Envuoumental Control Sup"vssor, <br /> at(209)937-8740 <br /> "I certify under penalty of law that flus document and all attachmentsn <br /> prepared unnder m ��°or <br /> supemston to accordance with a system designed to assure that qualified personnel p p y <br /> the <br /> tnformoatzon sub>ntted Based on my inquiry of the person or persons wbo manage the system• or those persons <br /> directly responsible for gatlimug the information the uoformauon, subanttted is, to the best of my lmowledge and <br /> belief,true. accurate, and complete- I am aware t_*►at there are significant penalties for submitting false,nfonnauon. <br /> including the posstbtlary of fine and imprisonment for knowing violations ' <br /> RespeaMly submitted, <br /> General Manager <br /> OW-Thames Water Stockton,Inc <br /> WLT RKS <br />
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