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CO0053202 (3)
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2500 – Emergency Response Program
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CO0053202 (3)
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Last modified
11/20/2024 9:09:12 AM
Creation date
3/3/2021 4:37:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053202
PE
2546
FACILITY_NAME
VICTORIA ISLAND LP
STREET_NUMBER
16021
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206
APN
12919029
ENTERED_DATE
12/28/2020 12:00:00 AM
SITE_LOCATION
W HWY 4-OLD RIVER BRIDGE
RECEIVED_DATE
12/28/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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SANJOAQUIN Environmental Health Department <br /> --- <br /> COUNTY---- <br /> EMERGENCY RESPONSE RECORD <br /> Date: August 13, 2020 Short Term#: C00052442 <br /> Premise Address: 4650 NEWCASTLE RD City: STOCKTON <br /> Premise DBA: Cross Street: ARCH <br /> Premise Owner: US CACTUS STOCKTON LLC Owner's Phone: <br /> Mailing Address: 9830 COLONNADE BLVD STE 600 Owner City: SAN ANTONIO <br /> Facility Contact: US CACTUS STOCKTON LLC Contact Phone: <br /> RP DBA: KEHE DISTRIBUTION <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 4650 NEWCASTLE RD. RP City: STOCKTON <br /> RP Contact: MIKE LESLIE Contact Phone: (209) 300-9634 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> 20 GALLONS OF DIESEL FUEL SPILLED. SPILL HAS BEEN CONTAINED AND ANCON SERVICES HAS BEEN CALLED <br /> TO DO THE CLEAN UP. INCIDENT#20-4337 <br /> Time Received: 12:00 pm Time of Arrival: 1:00 pm Time of Departure: 2:00 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> ALEJANDRO SERAMANO ANCON (510) 292-8099 <br /> JASON GAITAN SJC EHD (209)616-3036 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(g-a GAS(cu ft) COMMENTS <br /> DIESEL 50.00 ❑ z ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: August 14, 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 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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