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2500 – Emergency Response Program
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CO4GF0XEK
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Last modified
3/3/2021 2:51:34 PM
Creation date
3/3/2021 2:16:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO4GF0XEK
PE
2546
STREET_NUMBER
1740
STREET_NAME
HOUSTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
16307036
ENTERED_DATE
2/25/2020 12:00:00 AM
SITE_LOCATION
1740 HOUSTON AVE
RECEIVED_DATE
2/25/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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S AM Q n U I N Environmental Health Department <br /> - <br /> - -COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: February 25, 2020 Short Term#: C04GFOXEK <br /> Premise Address: 1740 HOUSTON AVE City: STOCKTON <br /> Premise DBA: Cross Street: Fresno Ave. <br /> Premise Owner: CITY OF STOCKTON Owner's Phone: (209)937-8341 <br /> Mailing Address: 425 N ELDORADO ST Owner City: STOCKTON <br /> Facility Contact: CITY OF STOCKTON Contact Phone: (209)937-8212 <br /> RP DBA: VAN BUSKIRK GOLF COURSE/CITY OF STOCKTON <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 605 N EL DORADO ST RP City: STOCKTON <br /> RP Contact: CAROLYN GODWIN Contact Phone: (209) °f37- ] Z <br /> NATURE OF RESPONSE(explosion, spill, leak fire or abandoned/dumped material <br /> CAL OES REPORT#20-1075: TWO BAGS, LESS THAN 10 POUNDS, OF FERROUS SULFATE FERTILIZER <br /> (GRANULAR TYPE)VANDALIZED AND REMOVED FROM A SHED CAUSING THE RELEASE. MATERIAL FLOWED <br /> ONTO SOIL. REPORTING PARTY AND CONTRACTOR ARE HANDLING THE CONTAINMENT AND CLEAN UP. <br /> Time Received: 3:30 pm Time of Arrival: 10:30 am Time of Departure: 11:18 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> CAROLYN GODWIN CITY OF STOCKTON COMM SVC (209) 613 1-JS <br /> ELIANNA FLORIDO SJC EHD (209)468-0343 10:30 am 11:18 am <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(call GAS(cu ft) COMMENTS <br /> RROUS SULFATE FERTILI 10.00 x❑ ❑ ❑ impact to soil: ferrous sulfate fertilizer <br /> TRANSMISSION OIL 5.00 ❑ ❑x ❑ impact to pavement inside maintenance buildir g <br /> MERCURY unknown ❑ ❑ ❑ potential release from broken flourescent <br /> bulbs inside maintenance buildin <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: February 25,2020 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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