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CONANPCJL (2)
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2500 – Emergency Response Program
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CONANPCJL (2)
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Last modified
3/4/2021 12:27:34 PM
Creation date
3/4/2021 12:01:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CONANPCJL
PE
2546
STREET_NUMBER
6966
Direction
S
STREET_NAME
INLAND
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
13131001
ENTERED_DATE
7/22/2020 12:00:00 AM
SITE_LOCATION
6966 S INLAND DR
RECEIVED_DATE
7/21/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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S `AN,J OA Q U I•,N Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: July 21, 2020 ShortTerm#: CONANPCJL <br /> Premise Address: 6966 S INLAND DR City: STOCKTON <br /> Premise DBA: Cross Street: <br /> Premise Owner: DEL CARLO, DINO & NICOLE Owner's Phone: <br /> Mailing Address: 4595 PINE VALLEY CIR Owner City: STOCKTON <br /> Facility Contact: DEL CARLO, DINO & NICOLE Contact Phone: <br /> RP DBA: TRINITAS FARMING <br /> Onsite RP Name: THOMAS ROBINSON Onsite RP Phone: (916)416-6095 <br /> Mailing Address: 1473 E G ST SUITE B RP City: OAKDALE <br /> RP Contact: THOMAS ROBINSON Contact Phone: (916) 416-6095 <br /> NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br /> AN EQUIPMENT INCIDENT CAUSED A RELEASE OF APPROXIMATELY 250 GALLONS OF MIXED PESTICIDES ONTO <br /> SOIL. THE 250 GALLONS CONSISTED OF THE FOLLOWING CHEMICALS: ZARAWSB, VIGILANT 4FC, INTREPID <br /> 2AV, QUICK ULTRA WITH AWAKEN, 415 SPRAY OIL,AND MINERAL OIL. <br /> Time Received: 10:54 am Time of Arrival: 1:06 pm Time of Departure: 1:36 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> John Alaniz SJC EHD (209)468-3147 1:06 pm 1:36 pm <br /> Jana LaBrucherie SJC AG COMMISSIONER (209)636-8041 1:06 pm 1:36 pm <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(qal� GAS(cu ft) COMMENTS <br /> PESTICIDE MIX 250.00 ❑ El ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: July 23, 2020 Date LIAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES ONO <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.sjgov.org/EHD <br />
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