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COSZGWLWK
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COSZGWLWK
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Last modified
3/4/2021 1:02:00 PM
Creation date
3/4/2021 12:55:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COSZGWLWK
PE
2546
FACILITY_NAME
RESIDENTIAL HOUSE
STREET_NUMBER
2357
STREET_NAME
PISA
STREET_TYPE
CIR
City
STOCKTON
Zip
95206
APN
16627028
ENTERED_DATE
11/21/2020 12:00:00 AM
SITE_LOCATION
2357 PISA CIRCLE, STOCKTON, CA
RECEIVED_DATE
11/21/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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SANJ O A Q U I N Environmental Health Department <br /> TY <br /> EMERGENCY RESPONSE RECORD <br /> Date: November 21, 2020 Short Term#: COSZGWLWK <br /> Premise Address: 2357 PISA CIR City: STOCKTON <br /> Premise DBA: Cross Street: ROMA LANE <br /> Premise Owner: NEPOMUCENO, ROUEL E & PARALUMAN Owner's Phone: <br /> Mailing Address: 1844 OAKLEY CT Owner City: STOCKTON <br /> Facility Contact: NEPOMUCENO, ROUEL E & PARALUMAN Contact Phone: <br /> RP DBA: PGE <br /> Onsite RP Name: DAVID LARSEN Onsite RP Phone: (209)401-9719 <br /> Mailing Address: P.0 BOX 7640 RP City: SAN FRANCISCO <br /> RP Contact: ALEX STEELE Contact Phone: (925) 658-0437 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> A vehicle struck a pad mounted transformer causing the release of approximately 30-gallons of transformer oil, material <br /> flowed onto soil, vegetation, concrete and asphalt. <br /> Time Received: 8:56 am Time of Arrival: 10:00 am Time of Departure: 11:00 am <br /> PERSONS AT SCENE <br /> NAME A ENY PH NE Q Q <br /> Dave Larsen PGE (209)401-9719 10:00 pm <br /> PGE CREW <br /> Elena Manzo SJCEHD (209) 953-7699 10:00 am 11:00 am <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(gall GAS(cu ftl COMMENTS <br /> Transformer Oil 30.00 ❑ z ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: November 21, 2020 Date LIAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? DYES LINO <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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