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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0524607
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/11/2019 9:42:38 AM
Creation date
7/11/2019 9:09:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0524607
PE
2950
FACILITY_ID
FA0016516
FACILITY_NAME
STOCKTON RAILYARD
STREET_NUMBER
833
Direction
E
STREET_NAME
EIGHTH
STREET_TYPE
ST
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
833 E EIGHTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 445 N. San Joaquin Street • P.O. Box 388 0 Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> 1` :f EAdERGENCY RESPONSE RECORD <br /> DISTRICT# DATE J/ �r�SHORT TERM # <br /> PREMISE ADDRESS CITY5"' ca <br /> DBA <br /> PREMISE OWNER PHONE <br /> OWNER'S ADDRESS <br /> FACILITY CONTACT �j^'P�'^�'�' PHONE <br /> NATURE OF COMPLAINT (expf6sion, spill, leak, fire, or abandoned/dumped material) <br /> TIME RECEIVED TIME OF ARRIVAL TIME OF DEPARTURE <br /> (TOA) (TOO) <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE NO. TOA TOD <br /> IDENTIFICATION OF MATERIAL (CHEMICAL INVOLVED) <br /> SUBSTANCE FORM: [ ] SOLID [ ] POWDER ] GAS UID [ l GRANULE <br /> REFERRALS TO: DATE MAILED: <br /> DATE COMPLETED: PROP 65 UAR <br /> PERSONS EXPOSED and/or INJURED <br /> NAME ADDRESS PHONE NO. <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? [ ] YES [ ] NO <br /> E.R.BINDER COPIES: <br /> [ ] SHORT-TERM ATTACHED ON TOP [ ) NARRATIVE [ ] ANALYTICAL DATA [ ] PROP 65/UAR <br /> ] EXPOSURE RECORD [ ] MANIFEST [ ] CLEANUP FIRM REPORT [ ] OTHER AGENCY REPORTS <br /> f ] REFERRALS [ ] MAP [ ] FILE CREATED <br /> A 1)i%ision of San Joaquin County Health Care Services <br />
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