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CO004CN0S (2)
EnvironmentalHealth
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2500 – Emergency Response Program
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CO004CN0S (2)
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Last modified
8/25/2021 2:49:02 PM
Creation date
8/25/2021 2:41:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO004CN0S
PE
2546
STREET_NUMBER
12700
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19603008
ENTERED_DATE
4/15/2021 12:00:00 AM
SITE_LOCATION
12700 S HARLAN RD
RECEIVED_DATE
4/15/2021 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\ymoreno
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EHD - Public
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AN JOAQUIN <br />couNly <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: <br />El I - No Evacuation/Local Response Only <br /> <br />r <br />EHD LOG # U <br />E II - Evacuation and/or In-County Mutual Aid Needed LII III - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: RECORD ID: <br />Name: Scott B. Phone: (209) 275-7420 <br />Company: Manteca Fire City: <br />Address: <br />Designated Employee: Lydia Baker <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 12700 S. Harlan Rd <br />Physical Description: <br />City: LATHROP <br />El Incorporated D Unincorporated <br />Date of Discharge: April 15, 2021 Date Notified: April 15, 2021 Time Notified: 6:36 pm <br />Name of Business: <br />Contact Person: Contact Phone: <br />Mailing Address: <br />City: State: ZIP: <br />____.... .._.. <br />Material: Diesel Amount: 12.00 D lbs El gal El cu ft <br />Type of Discharge: Release from vehicle accident <br />Circumstances: EHD notified by Manteca Fire <br />Material: Amount: D lbs 0 gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: El lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />Manteca Fire put absorbent on spill site on roadway and swept it to side of road. <br />SITE DISPOSITION <br />Spill area on dirt is contained with traffic cones and caution tape. <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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