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CO8S2HYYN (2)
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2500 – Emergency Response Program
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CO8S2HYYN (2)
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Last modified
8/2/2021 3:46:39 PM
Creation date
8/2/2021 3:27:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO8S2HYYN
PE
2546
FACILITY_NAME
COUNTY PROPERTY
STREET_NUMBER
2373
Direction
S
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
179130009
ENTERED_DATE
8/13/2020 12:00:00 AM
SITE_LOCATION
NEAR 2373 S. MARIPOSA RD.
RECEIVED_DATE
8/13/2020 12:00:00 AM
P_LOCATION
99
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 /> - C 0 U N I ,, - <br /> EMERGENCY RESPONSE RECORD <br /> Date: August 13, 2020 Short Term#: C08S2HYYN <br /> Premise Address: 2373 S MARIPOSA RD City: STOCKTON <br /> Premise DBA: Cross Street: S. 99 FRONTAGE RD. <br /> Premise Owner: Owner's Phone: <br /> Mailing Address: Owner City: <br /> Facility Contact: Contact Phone: <br /> RP DBA: BIS LOGISTICS INC. <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 3772 TOWNSHEND CIRCLE RP City: STOCKTON <br /> RP Contact: DWINDER SINGH Contact Phone: (209) 623-3570 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> 20-GALLONS OF DIESEL RELEASED ON TO ASPHALT AND COUNTY OWNED STORM DRAIN IMPACTED. <br /> Time Received: 4:12 pm Time of Arrival: 5:00 pm Time of Departure: 6:00 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> JUAN ARMENDAREZ CAL-TRANS (209)483-3088 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibsl LIQUID(qa() GAS(Cu ft) COMMENTS <br /> DIESEL 20.00 ❑ 0 ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: August 14, 2020 Date LIAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? DYES ONO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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