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COQGA1I25 (2)
EnvironmentalHealth
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2500 – Emergency Response Program
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COQGA1I25 (2)
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Last modified
4/14/2021 12:09:45 PM
Creation date
4/14/2021 11:33:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COQGA1I25
PE
2546
FACILITY_NAME
PANDA EXPRESS
STREET_NUMBER
10370
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06640007
ENTERED_DATE
5/26/2020 12:00:00 AM
SITE_LOCATION
10370 TRINITY PARKWAY
RECEIVED_DATE
5/23/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Date: May 23, 2020 Short Term #: COQGA1125 <br /> <br />Premise Address: 10370 TRINITY PKWY City: STOCKTON <br /> <br />Premise DBA: 12/40/1 CXPRES5 <br /> <br />Cross Street: EIGHT MILE RD <br /> <br />Premise Owner: EXCEL s roc Tao L c Owner's Phone: <br />Mailing Address: /20 VIA FRoVrERA sTE .22o Owner City: 5,14.) 0600 <br />Facility Contact: Contact Phone: <br />RP DBA: PANDA EXPRESS <br /> <br />Onsite RP Name: KIMBERLY ALVARADO Onsite RP Phone: (209) 298-1159 <br />Mailing Address: 1683 WALNUT GROVE AVE RP City: ROSEMEAD <br />RP Contact: KIMBERLY ALVARADO Contact Phone: (209) 298-1159 <br />NAME AGENCY PHONE TOD <br />KIMBERLY ALVARADO PANDA EXPRESS (202) 298-1159 <br />El El 0 <br />PERSONS AT SCENE <br />MATERIAL / CLASSIFICATION (chemical involved) <br />AMOUNT SOLID (lbs) LIQUID (gab GAS (cu ft) COMMENTS MATERIAL <br />SAN JOAQUIN Environmental Health Department <br /> <br />COUNT — <br /> <br />EMERGENCY RESPONSE RECORD <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />FIRE IN KITCHEN DUE TO UNATTENDED WOK BURNER. <br /> <br />Time Received: 9:34 am <br /> <br />Time of Arrival: 10:26 am Time of Departure: 11:23 am <br />D NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: /0/4 Date UAR Completed: 1Q/4 <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES 0NO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 F 209 464-0138 I www.sjgov.org/EHD
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