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CO2ZNEZ0F (2)
EnvironmentalHealth
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2500 – Emergency Response Program
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CO2ZNEZ0F (2)
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Last modified
4/27/2021 2:33:23 PM
Creation date
4/27/2021 11:43:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO2ZNEZ0F
PE
2546
FACILITY_NAME
PRIVATE RESIDANCE
STREET_NUMBER
10825
Direction
E
STREET_NAME
MONCURE
STREET_TYPE
RD
City
RIPON
Zip
95336
APN
25729002
ENTERED_DATE
6/28/2020 12:00:00 AM
SITE_LOCATION
10825 MONCURE RD.
RECEIVED_DATE
6/28/2020 12:00:00 AM
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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NAME <br />DAVE LARSEN PGE (925) 519-4750 <br />AGENCY PHONE TOA TOD <br />SAN3JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: June 28, 2020 Short Term #: CO2ZNEZ0F <br />Premise Address: 10825 E MONCURE RD City: RIPON <br />Premise DBA: Cross Street: S. AUSTIN RD <br />Premise Owner: Owner's Phone: <br />Mailing Address: Owner City: <br />Facility Contact: Contact Phone: <br />RP DBA: PACIFIC GAS & ELECTRIC <br />Onsite RP Name: DAVE LARSEN Onsite RP Phone: (925) 519-4750 <br />Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br />RP Contact: ALEX STEELE Contact Phone: (209) 337-8902 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />APPROXIMATELY 3-GALLONS OF MINERAL OIL RELEASED FROM POLE MOUNTED TRANSFORMER. <br />Time Received: 2:43 pm Time of Arrival: 3:50 pm Time of Departure: 4:00 pm <br />PERSONS AT SCENE <br />LA SIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />MINERAL OIL 3.00 D El 0 <br />0 El 0 <br />0 0 0 <br />TIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: June 29, 2020 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? DYES DNO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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