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3500 - Local Oversight Program
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PR0545776
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Last modified
5/28/2020 4:45:09 PM
Creation date
5/28/2020 4:38:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545776
PE
3528
FACILITY_ID
FA0002231
FACILITY_NAME
JACK FROST ICE SERVICE
STREET_NUMBER
425
Direction
N
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15112003
CURRENT_STATUS
02
SITE_LOCATION
425 N UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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I <br /> POST THIS AND ROUTE TO THE HOSPITAL MAP AT.THE SITE <br /> EMERGENCY CONTACTS <br /> NAME TELEPHONE NAME .TELEPHONE <br /> Sandra Pimienta (916) 852-3747.1 Dameron Hospital (209) 944-5550 <br /> Office Health and Safety <br /> Ines Cadivid-Parr (818) 509-3135$ Police/Fire/Parame 911 <br /> Regional Health and Safety dics <br /> Gerald Joy, CIH (412) 497-2056,: EPA-Emergency (201) 321-6660 <br /> Corporate Health and Safety Response Team <br /> Center for Disease Control (404) 329-3311 s Poison Control (800) 962-1253 <br /> (404) 329-3644- Center <br /> Environmental Emergency (804) 424 $802 National Pesticide (800) 845-7633 <br /> National Response Center Center <br /> Directions to the nearest hospital: <br /> (Notify Regional and Corporate Health and Safety <br /> Dameron Hospital Managers) <br /> 525 West Acacia Street <br /> Stockton, California <br /> Hospital is located west of the Site <br /> (Figure 1). Take Union Street north to Park <br /> Street; make a left (west) on Park; make a <br /> right (north) onto Lincoln ; make a left onto <br /> West Acacia Street. Hospital is on righthand <br /> side 525 West Acacia Street. <br /> In the event of injury, present the following information to the medical facility: <br /> Insurance Carrier: Planet Insurance Company/Gallagher Basset Services <br /> 2099 S. State College Blvd., Suite 201 <br /> Anaheim, CA 92806 <br /> (714) 938-0172 <br /> Policy Number: NWA0100240 <br /> i <br /> UNICt?SSNP <br /> ' 6.9.94J�i>ta(Y001�0 1`1'2 <br />
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