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CO0051960
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CO0051960
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Last modified
1/12/2021 4:09:53 PM
Creation date
6/4/2020 3:32:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0051960
PE
2546
STREET_NUMBER
1900
STREET_NAME
ROOSEVELT
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22716025
ENTERED_DATE
5/15/2020 12:00:00 AM
SITE_LOCATION
1900 ROOSEVELT AVE
RECEIVED_DATE
5/15/2020 12:00:00 AM
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br /> SAN �IOAQUIN <br /> - -COUNTY --- <br /> EMERGENCY RESPONSE RECORD <br /> Date: May 15, 2020 Short Term#: C00051960 <br /> Premise Address: 1900 ROOSEVELT AVE City: ESCALON <br /> Premise DBA: Cross Street: MCHENRY <br /> Premise Owner: WILLIAM AND PHELMA PORTER Owner's Phone: <br /> Mailing Address: 16453 E MILGEO AVE Owner City: RIPON <br /> Facility Contact: WILLIAM AND PHELMA PORTER Contact Phone: <br /> RP DBA: PG&E <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br /> RP Contact: CELIA BARAJAS Contact Phone: (925)519-4750 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> SPILL.APPROXIMATELY ONE GALLON OF NON PCB TRANSFORMER OIL. <br /> Time Received: 3:30 pm Time of Arrival: 4:08 pm Time of Departure: 4:30 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Lydia Baker SJC EHD (209)468-8257 4:08 pm 4:30 pm <br /> Jeff Francis Owner of P&L Concrete (209)838-1448 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gal) GAS(cu ft) COMMENTS <br /> Mineral Oil 1.00 ❑ ❑x ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: May 18, 2020 Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? []YES []NO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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