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CONZY0FMJ (2)
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2500 – Emergency Response Program
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CONZY0FMJ (2)
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Last modified
10/19/2021 1:39:34 PM
Creation date
10/19/2021 1:33:46 PM
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EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CONZY0FMJ
PE
2546
FACILITY_NAME
WEST VILLAGE MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
ENTERED_DATE
7/30/2021 12:00:00 AM
SITE_LOCATION
6649 EMBARCADERO DRIVE
RECEIVED_DATE
7/29/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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RP DBA: TIM REISECK <br />Time of Departure: 3:25 pm Time of Arrival: 3:00 pm Time Received: 1:50 pm <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />ENGINE OIL RELEASED FROM A SUNKEN BOAT <br />Date: July 29, 2021 Short Term # CONZYOFMJ <br />Premise Address: 6649 EMBARCADERO DR City: STOCKTON <br />Premise DBA: WEST VILLAGE MARINA Cross Street: PENINSULA <br />Premise Owner: WEST VILLAGE MARINA Owners Phone: (209) 951-1551 <br />Mailing Address: 1520 MAIN ST Owner City: REDWOOD CITY <br />Facility Contact' WEST VILLAGE MARINA LLC Contact Phone: (650) 369-6746 <br />Onsite RP Name: Onsite RP Phone: (209) 484-7238 <br />Mailing Address: 2508 OAKDALE RD STE B1 RP City: MODESTO <br />RP Contact: TIM REISECK Contact Phone: (209) 484-7238 <br />SAN JOAQUIN <br /> Environmental Health Department <br />NTY <br />EMERGENCY RESPONSE RECORD <br />NAME AGENCY PHONE TOA TOD <br />Lydia Baker SJC EHD (209) 616-3046 3:00 pm 3:25 pm <br />Shewit Woldearegay SJC EHD (209) 616-3063 3:00 pm 3:25 pm <br />Kristina Saetem SJC EHD (209) 616-3045 3:00 pm 3:25 pm <br />N involved <br />MATERIAL AMOUNT SOLID (110s). LIQUID (aal) GAS (Cu ft). COMMENTS <br />Engine oil 0.02 0 I=1 0 <br />0 0 0 <br />0 0 0 <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES LINO <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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