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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
Tags
EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />i")U N I <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: END LOG # 0 0 ---\g <br />LiI - No Evacuation/Local Response Only Li - Evacuation and/or In-County Mutual Aid Neede LI Ill - Evacuation and/or Stale/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION <br />Name: <br />Company: <br />DAVE LARSEN Phone: (209) 337-8902 <br />PGE City: SAN FRANCISCO <br />Address: PO BOX 7640 <br />Designated Employee: Jason Gaitan <br />Reporting Agency: San Joaquin County Environmental Health Department <br />Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br />LOCATION AND DATE OF DISCHARGE: <br />Location - Best PRIVATE RESIDENCE LOCATED ON 10825 MON CURE RD <br />Physical Description: POLE MOUNTED TRANSFORMER LOCATED IN FRONT OF <br />HrIAIIF <br />City: RIPON <br />D Incorporated 0 Unincorporated <br />Date of Discharge: June 28, 2020 Date Notified June 28, 2020 Time Notified: 2:43 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: PACIFIC GAS & ELECTRIC <br /> <br />Contact Person: ALEX STEELE <br /> <br />Contact Phone: (209) 337-8902 <br /> <br />Mailing Address: PO BOX 7640 <br /> <br />City: SAN FRANCISCO <br />State CA <br /> ZIP: 94120 <br />Material: MINERAL OIL Amount: 3.00 I=1 lbs 0 gal D Cu ft <br />Type of Discharge: RELEASE <br />Circumstances: VEHICLE ACCIDENT <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: D lbs D gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />PGE EMPLOYEE CONTAINED AND CLEANED RELEASE AND NOTIFIED EHD <br />SITE DISPOSITION <br />SITE CONFIRMED CLEAN BY EHD <br />Page 1 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 I www.sjcehd.com
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