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SU0005244 SSCRPT
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SU0005244 SSCRPT
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Last modified
5/7/2020 11:31:33 AM
Creation date
9/9/2019 10:59:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005244
PE
2611
FACILITY_NAME
PA-0500436
STREET_NUMBER
2978
Direction
S
STREET_NAME
VISTA
STREET_TYPE
AVE
City
STOCKTON
APN
17504018 & 19
ENTERED_DATE
7/25/2005 12:00:00 AM
SITE_LOCATION
2978 S VISTA AVE
RECEIVED_DATE
7/25/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VISTA\2978\PA-0500436\SU0005244\SSC RPT.PDF
Tags
EHD - Public
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Feb 05 07 02: 19p San Joaquin County OES 2094662600 p• 4 <br /> 6. <br /> oP.4'?IN.; SAN JOAQULV COUNTY-OFFICE OF EMERGENCY SERVICES <br /> a� % HAZARDOUS MATERIALS DIVISION <br /> 6. '' ` '` 222 East Weber Avenue,Room 610,Stockton,CA 95202 <br /> Telephone(209)468-3969 <br /> • C2 P <br /> S�%FOVt�\ <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Occured Time Incident Dam At Scene Time At Scene SIDES Incident No. <br /> Oecured <br /> 12/1/1996 0718 IR-00308 <br /> Initial Information Reported Wind Speed/Dimetion <br /> A small hydrogen peroxide release caused by a mechanical failure. Unknown <br /> Reporting Party Name Address Telephone No. <br /> Stockton Fire Stockton (209)937-8021 <br /> Responsible Party Name .Address Telephone No. <br /> N City of Stockton-MUD Stu250 NCA 9r. (209)937-8750 <br /> Responsible Party Representative Name Address Telephone No. <br /> Jim Butler 2144 Fontana (209)937-8731 <br /> Stockton.CA 95203 <br /> OFS tiazMat Team OES Personnel on Scene <br /> Activated <br /> N/A <br /> No <br /> Joint Team Activated? DateMme Activated Members On Scene <br /> Q No N/A N/A <br /> Fite District Slitigation/Remaval Actions <br /> -. Stockton 22 Leak was stopped and system was repaired <br /> Agency Notifications and/or Referrals <br /> Name of Agency Dara of Notification Time of Notification Name of Representative <br /> Notified <br /> Stockton Fire 12/1196 Tony Moudakis <br /> State Warning Center 12/1/96 1518 BIG <br /> I' <br /> County OES 12/2/96 Voice Mail Message <br /> Repotting Officer Signature CHM1R Fled? Incident Type <br /> Q Yes I Fixed Facility,Accident <br /> V <br /> Page 2 <br /> V <br />
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