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CO0053865 (2)
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2500 – Emergency Response Program
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CO0053865 (2)
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Last modified
8/3/2021 2:45:25 PM
Creation date
8/2/2021 4:14:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053865
PE
2546
STREET_NUMBER
5169
STREET_NAME
GADWALL
STREET_TYPE
CIR
City
STOCKTON
Zip
95207
APN
11229005
ENTERED_DATE
6/2/2021 12:00:00 AM
SITE_LOCATION
5169 GADWALL CI
RECEIVED_DATE
6/2/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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t <br /> SAN JOAQUIN <br /> COPY Environmental Health Department <br /> %. UIUi'I I Y <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE ��yy <br /> EMERGENCY LEVEL: EHD LOG# <br /> ❑x I-No Evacuation/Local Response Only ❑II-Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: C00053865 <br /> Name: ANONYMOUS Phone: <br /> Company: City: <br /> Address: <br /> Designated Employee: John Alaniz <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 GUTTER IN FRONT OF 5169 GADWALL CIR STOCKTON,APN City: STOCKTON <br /> Physical Description: 11229005 p Incorporated ❑ Unincorporated <br /> Date of Discharge: Date Notified: June 02, 2021 Time Notified: 1:54 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: CITY OF STOCKTON <br /> Contact Person: BRYAN TOLEDO Contact Phone: (209) 937-8719 <br /> Mailing Address: 2500 NAVY DRIVE <br /> City: STOCKTON State: CA ZIP: 65206 <br /> DESCRIPTION <br /> Material: ANTIFREEZE Amount. 1.00 ❑ lbs E5 gal ❑ cu ft <br /> Type of Discharge: UNKNOWN <br /> Circumstances: EHD NOTIFIED BY SAN JOAQUIN COUNTY PUBLIC WORKS WATER RESOURCES <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> SPILL WAS CLEANED UP BY THE CITY OF STOCKTON. <br /> SITE DISPOSITION <br /> NO FURTHER ACTION IS NECESSARY. <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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